Maternal and Neonatal Outcome in Women with Cardiac Diseases and Suggested Nursing Guidelines
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 2
Abstract
Background: Cardiac disease is the indirect and the third most common cause of maternal mortality. It may be congenital or acquired. Aim of the study: The current study aimed to determine the profile of patients with heart diseases, find out the maternal and neonatal outcome and design a nursing guideline for the management of cardiac diseases during pregnancy. Design: A descriptive design was used to conduct this study. Setting: The present study was conducted at obstetric department, labor ward at Maternity and Childhood hospital in Zagazig University Hospitals. Sample: A purposive sample of all parturient women attending the study setting; 70 women were recruited during 10 months. Tools: Tools used for data collection were: A structured interview sheet, clinical assessment form, maternal assessment sheet, newborn assessment sheet and nursing guidelines about the management of cardiac diseases. Results: Maternal age was (25-35) years old with mean age (29.1±5.7). Rheumatic heart disease (84.2%) was the most common type of cardiac lesions with mitral stenosis (71.2%) the prevalent valvular lesion. Cesarean section (70%) was the most common mode of delivery due to previous CS, cardiac condition and fetal factors. Arrhythmias, anemia and preeclampsia were the most common problems encountered with current pregnancy (42.9%, 35.7% and 20% respectively).Cardiac diseases resulted in ICU admission, heart failure and obstetrics complications. Moreover, Lower Apgar score, preterm baby, and NICU admission were the most neonatal complications. Conclusion: Rheumatic heart disease is still a predominant cardiac problem with higher rates of arrhythmias, hospitalization, maternal morbidity and neonatal adverse outcome. Recommendations: Appropriate referral and multidisciplinary planning with the appropriate specialists in tertiary centers are mandatory to minimize the risk of complications. Written clinical nursing guidelines for the management of women with cardiac diseases should be used by the nursing staff.
Authors and Affiliations
Fatma Talal Fathy, Amina Saad Gonied, Nabila Salim Mohammed
Keywords
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- EP ID EP435776
- DOI 10.9790/1959-0702038091.
- Views 126
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