Management of heart diseases in pregnancy at a tertiary centre: A case series
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2017, Vol 4, Issue 4
Abstract
Introduction: Cardiac disease in the pregnant patient can present challenges in cardiovascular and maternal-fetal management. The present study is a retrospective analysis of the cases treated at our institute of heart disease in pregnancy. Objectives: The study was conducted to study the epidemiological, clinical and outcomes in patients of cardiac illness in pregnancy Materials and Method: All pregnant patients of cardiac illness were admitted to the institute from 2015 to 2016 were studied. Data was collected from patient records operative notes and discharge summaries. Results: 80 institutional deliveries were conducted in the above time period. Five cases cases of heart diseases complicating pregnancy were studied:2 cases of peripartum cardiomyopathy, one each of aortic stenosis, pulmonary stenosis and mitral stenosis with mitral regurgitation. However, one patient of peripartum cardiomyopathy patient was excluded as the patient was brought in an unconscious condition with poor Glassgow coma scale and on ventilator support and relatives declined treatment and was lost to follow up. All the other patients had satisfactory outcome. Conclusion: Early identification of the cardiac lesions can lead to effective and safer delivery at places where advanced care is available.
Authors and Affiliations
Harsha Ramdurg
Keywords
Related Articles
- EP ID EP315181
- DOI 10.18231/2394-2754.2017.0088
- Views 79
- Downloads 0
Comparative study of non-decent vaginal hysterectomy with abdominal hysterectomy
Introduction: Hysterectomies are carried out to treat many uterine conditions, and are performed by two principal routes i.e. abdominal and vaginal. However even after many studies, the best route of performing hysterect...
Use of Centchroman (Saheli) in conservative management of Menorrhagia: Our experience
Introduction: One of the commonest disorder encountered in gynecological practice is menorrhagia which accounts for about 12–23% of the outpatient department consultations and is also an indication for hysterectomy in ab...
A cross sectional study to analyse the pervasiveness and risk factors of antepartum depression in pregnant women
Introduction Pregnancy being a major psychological as well as physiological event it is also one of the delighted moments in a womens life but for most of them its a time of confusion fear anxiety stress and even depress...
The spectrum of dengue fever in pregnancy
Introduction Dengue is a vectorborne disease transmitted by the mosquito Aedes aegypticus Dengue infection in pregnancy carries the risk of hemorrhage for both the mother and the newbornMaterials and Methods 148 patients...
A preliminary feasibility study to evaluate the safety, acceptability and efficacy of PPIUCD prior to implementation of PPIUCD service
Introduction PPIUCD is a very safe reversible long term contraceptive The recommended interval between pregnancies is at least 24 months in order to reduce the risk of adverse maternal perinatal and infant outcomes In ou...