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Research Paper | Obstetrics and Gynecology | India | Volume 12 Issue 5, May 2023
Fetomaternal Outcome in Patients with Pregnancy with Cardiac Disease
Pravin K. Jadhav | Purushottam Hoogar | Jyoti V. Rokade
Abstract: The study aimed to determine the fetomaternal outcome in pregnant patients with cardiac disease to better understand the prevalence and severity of the disease and to enable timely and appropriate management. This hospital - based observational study was carried outon 117 pregnant women with any kind of heart disease acquired congenital valvular, ischemic, irrespective of gestational age, patients with known cases of heart disease before pregnancy. The total number of deliveries at the hospital was 11273 out of which 117 deliveries (1.07%) were with heart disease. The mean age of the patients was 27.63?14.2 years ranging from 18 to 41 years.82.90% of patients had term gestation whereas, preterm labour was seen in 5.98% of the cases and first - trimester abortion occurred in 10.25% of the patients. Among 117 patients 85 patients (72.65%) were diagnosed with heart disease before pregnancy whereas 32 patients (27.35%) were diagnosed during pregnancy. After delivery 1 woman had congestive cardiac failure, 2 had postpartum cardiomyopathy, and 4 had infective endocarditis. Whereas, 2 mothers died due to pulmonary embolism and congestive cardiac failure. Out of 117 patients, 108 (92.30%) were discharged from the hospital without any complications. Among 117 patients, 12 patients were admitted for first - trimester miscarriage. In the remaining 105 cases, 7 patients (6.66%) were stillborn of which 4 (57.14%) were fresh stillborn and 3 (42.85%) were macerated stillborn, and 98 (93.33%) were alive. Most of the babies were born with birth weights between 2.5 to 3 kg (71.42%) followed by 21.42% of the babies with birth weights more than 3 kg and low birth weight was observed in 7.14% of the cases. A total of 39 (39.79%) were admitted in NICU. The most common reason for NICU admission was meconium aspiration (43.58%) followed by prematurity (17.94%) and IUGR (17.94%). Management of the pregnant women with cardiac abnormalities shouldbe multidisciplinary to enhance care for these patients.
Keywords: Cardiac disease, Fetomaternal outcomes, pregnancy, fetomaternal outcomes
Edition: Volume 12 Issue 5, May 2023,
Pages: 766 - 769