Pregnancy outcome in women with congenital heart disease in a tertiary care centre
Journal Title: The New Indian Journal of OBGYN - Year 2018, Vol 5, Issue 1
Abstract
Objective: To find out prevalence of congenital heart disease in pregnant women and its cardiac, obstetric and neonatal outcome. Methodology: A prospective study was conducted on 74 mothers who had congenital heart disease and admitted in Obstetrics and Gynaecology department during a period of December 2013 to December 2017. Baseline data were collected before pregnancy or at the first antenatal visit. These included clinical presentation, ECG, chest X ray, echodoppler study and subsequently maternal cardiac event, obstetric outcome, neonatal event and risk stratification of bad obstetric outcome. Result: During the study period 74 women having congenital heart disease (CHD) were seen. The prevalence of congenital heart disease was 0.14%. Most of the patients had atrial septal defect (ASD) (35%). Normal delivery was in 18 numbers of patients and most of these were ASD and pulmonary stenosis. Large number of patients had developed complication of sustained arrhythmia (41%). Pulmonary oedema was documented in 8 patients. Seven patients expired during labour and puerperium. Regarding fetal outcome 58% pregnancy had intrauterine growth restriction, 67% had preterm birth and 8% had neonatal death. Conclusion: Maternal and neonatal complication rates are considerably high in pregnant women with congenital heart disease.
Authors and Affiliations
Lipika Adhikari, Sandip Sarkar, Amitava Das, Priyanka Sannigrahi, Prateek Chawdhary
Keywords
Related Articles
- EP ID EP471975
- DOI 10.21276/obgyn.2018.5.1.9
- Views 118
- Downloads 0
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