PREDICTORS OF PREGNANCY RELATED COMPLICATIONS IN WOMEN WITH HEART DISEASE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 10
Abstract
BACKGROUND The outcome of pregnancies in 100 women with heart disease, both congenital and acquired who received their obstetric care at Medical College Hospital, Kottayam, was evaluated. The aim of the study was to comprehend the impact of heart disease during pregnancy, to study the cardiac complications in pregnant women with heart disease, to identify predictors of pregnancy related cardiac complications in women with heart disease, to assess the individual risk of each pregnant woman with heart disease. MATERIALS AND METHODS In this retrospective cohort study, the outcome of pregnancies in 100 women with heart disease who received their obstetrical care at Medical College Hospital, Kottayam, were studied. Heart disease in this group was congenital or acquired in origin. Patients with isolated mitral valve prolapse and 12 women with heart disease who underwent therapeutic abortions were excluded. RESULTS In 100 mothers with heart disease, cardiac event occurred in 8% pregnancies. It included 2 maternal deaths, 3 cardiac failures, 1 atrial fibrillation, 1 congestive cardiac failure with atrial fibrillation and 1 pulmonary embolism. NYHA class is a statistically significant predictor of cardiac events (p value- 0.001). Out of 28 pregnancies with left heart obstruction, 5 had a cardiac event and it was found to be significant (p value- 0.31). Previous history of cardiac events was present in 9 cases and 44.4% of these patients developed cardiac event in this pregnancy which was also significant (p value- 0.000). The requirement of cardiac medications and twin gestation were significant predictors of cardiac events (p value- 0.000). CONCLUSION Strict prenatal care and early risk stratification during pregnancy are important measures to improve the prognosis of pregnancy in women with heart disease.
Authors and Affiliations
Sapna S, Asha P. S
Keywords
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- EP ID EP411316
- DOI 10.14260/jemds/2018/280
- Views 57
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