Retrospective analysis of 159 cases of pregnancy complicated with heart diseases
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Abstract:
Objective To investigate the incidence,types and outcomes of heart diseases in pregnant women and the current obstetric management methods.Methods Clinical data of 159 cases of pregnant women with heart diseases from April 2004 to April 2009 were analyzed retrospectively.Results ①The highest incidence of cardiac disease in the local region was 31.45% for congenital heart disease(50 cases).The incidence of heart disease caused by hypertensive disorders in pregnancy was 27.04%(43 cases),higher than that of rheumatic heart disease(25 cases,15.72%).②Grade Ⅳ cardiac function was mainly related to heart disease caused by hypertensive disorders in pregnancy.The pregnant women with grade Ⅰ-Ⅱ heart function after heart operation accounted for 84.62%.③The incidence of premature delivery,low weight of newborns and perinatal mortality were higher in women with grade Ⅲ-Ⅳ heart function than in those with grade Ⅰ-Ⅱ heart function.Conclusion The incidences of congenital heart disease and heart disease caused by hypertensive disorders in pregnancy are the highest in the local region.Prenatal monitor,systematic prenatal care and termination of the pregnancy in time can improve the outcome of both mothers and babies.Keywords:
Hypertensive heart disease
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