A 3 YEAR STUDY OF CARDIAC DISEASE IN PREGNANT WOMEN IN A TERTIARY CARE SET UP
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 20
Abstract
[b]AIM AND OBJECTIVE[/b]: To analyze pregnant women with heart disease and to assess its influence on feto-maternal outcome. [b]MATERIALS AND METHODS[/b]: The study was carried out during the period of November 2011 to October 2014. 45 pregnant women with cardiac diseases who were admitted in department of obstetrics and gynecology at KIMS hospital were included in the study. [b]RESULTS[/b]: Rheumatic heart disease (n–24, 53.33 %) with isolated mitral stenosis (24.4%) was the predominant cardiac problem among the study subjects while atrial septal defect (11.1%) was the most common form of congenital heart disease. Based on the NYHA functional classification 74 % were in class I, 22.3% patients were in class II and 2.22 % were in class IV on presentation .28.9 percent deliveries were preterm. The pregnancy duration was shortened in more advanced classes of heart disease. 60% of the cases were delivered by cesarean section. Average birth weight of babies in class I WAS 2.63 +/- 0.2 kg, 2.5 +/-0.3 kg in class II, 2.1 kg in class IV. Out of 45, 2 patients had heart failure during the hospital stay. There were 2 perinatal mortalities and one maternal mortality. [b]CONCLUSION[/b]: RHD was the predominant type of heart disease in pregnancy and most women were class I at the time of admission. The preterm delivery and cesarean rates were significantly high. A multidisciplinary approach is needed to reduce morbidity, mortality and to optimize the outcome.
Authors and Affiliations
Shashikala Gowda, Mansi Dhingra
Keywords
Related Articles
- EP ID EP132989
- DOI 10.14260/jemds/2015/505
- Views 87
- Downloads 0
BIPLANAR DOUBLE-SUPPORTED SCREW FIXATION METHOD IN OSTEOPOROTIC NECK OF FEMUR FRACTURES
BACKGROUND Femoral neck fracture is one of the common injuries sustained by elderly population, who due to their age and comorbidities have an unsteady gait and lower bone mineral density, thus increasing the risk of fra...
NEONATAL MORBIDITY AND MORTALITY PATTERNS OF BABIES ADMITTED IN SNCU @ ACSR GOVERNMENT MEDICAL COLLEGE, NELLORE, ANDHRA PRADESH
BACKGROUND According to the National Family Health Survey-3 (NFHS-3) report, the current neonatal mortality rate (NMR) in India of 39 per 1,000 live births, accounts for nearly 77% of all the infant deaths (57/1000) and...
DEXMEDETOMIDINE: AN IDEAL DRUG FOR PROCEDURAL SEDATION OUTSIDE OPERATION THEATRE
Procedural sedation and analgesia (PSA) is a method of administering sedatives or dissociative agents to patients undergoing unpleasant procedures. It has become the international standard of care for managing...
PATTERN OF SALIVARY GLAND TUMOURS IN A TERTIARY CARE HOSPITAL IN NORTH EASTERN INDIA
BACKGROUND Though rare, salivary gland tumours represent 6% of all head and neck neoplasm. 1 These tumours got so much important because of their diverse array of clinical presentation, behaviour, histopatholog...
COMPARISON OF EXTRACRANIAL WITH INTRACRANIAL CAROTID ARTERY DISEASE IN ISCHAEMIC STROKE
BACKGROUND Atherosclerotic intracranial large artery stenosis accounts for 20% of ischaemic stroke. Embolism from major arteries is a common source of stroke. The incidence and prevalence of the condition varies accordin...