Radhika Mohan, Saral Bhatia
Abstract: Objective To study the maternal outcome in pregnancy with heart disease. Material & Method The prospective analytical study of 30 pregnant consenting women with heart disease attending antenatal OPD or coming as emergency patient in labor room of new civil hospital, surat in 1 year duration. Primary outcome noted is maternal outcome in pregnancy with heart disease. Inclusion Criteria Pregnancy with heart disease (congenital or acquired) Exclusion Criteria pregnancy with heart disease and any medical conditions like diabetes, liver disease, renal disease etc and not consenting for the study. Summary Majority of subjects belonged in the active reproductive age group i.e. 20-25yrs (73 %). Majority being primiparous (57 %). More than half of subjects had Rheumatic Heart Disease with 37 % having mitral valve lesions. 17 % of the subjects had congenital heart disease with 80 % constituting atrial septal defect. 20 % of the subjects had peripartum cardiomyopathy. 50 % of the subjects were enrolled with NYHA grade 2. Most common pregnancy associated complication was pregnancy induced hypertension (17 %) followed by sickle cell anemia (13 %). 27 % of the subjects developed pulmonary oedema and 20 % developed congestive cardiac failure. All complications were encountered in acquired heart diseases.. There was no maternal mortality in this study. Conclusion There is still a large pool of patients with RHD in reproductive age group. Early diagnosis, specialized cardiac care, new advanced technologies, and multispeciality team approach has made it easy for pregnancy with decompensated heart disease to tolerate pregnancy better.
Keywords: Pregnancy, heart disease, maternal outcome, cardiac complication