Cardiac Disorders Complicating Pregnancy
2019
Background: Cardiac disorders complicate 1 to 4% of
pregnancies. Women with cardiac disorders have a risk
during pregnancy, labor, postpartum. It is essential to
prevent cardiac disorders, if not prevented, diagnose and
provide timely appropriate management to prevent deaths.
Objective: To know the trends and frequency of disorders,
feto-maternal outcome in women with cardiac disorders
complicating pregnancy in limited resource settings.
Material and Methods: Analysis of case records of women
with cardiac disorders managed from 1987 and 2016 was
done. During this study period, 79868 women delivered,
576 women with cardiac disorders were hospitalized in the
Obstetrics department. The analysis was done after getting
information related to objectives.
Results: Of 576 women who were admitted with cardiac
disorders, 56 had an abortion, 20 were lost to follow up. The
feto-maternal outcome of 500 cases was analyzed. 376
(75.2%) women had normal delivery, 72 (14.4%)
instrumental and 52 (10.4%) women underwent Caesarean
Sections (CSs). Perinatal Mortality Rate (PMR) was 40.9 and
16 (2.87%) of 556 women died, contributing to 9.5%
indirect maternal mortality during the period of analysis.
However, the outcome has been improving over the years.
Conclusion: Pregnancy in women with heart disease is
associated with significant cardiac and neonatal morbidity.
Over the years, it has been found that pregnancy
complicated by heart disease can result in a favorable
outcome for both mother and fetus, provided meticulous
care is taken before and during pregnancy, labor and
postpartum period with appropriate therapy.
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