Fetomaternal Outcome in Pregnancy with Rheumatic Heart Disease
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 11
Abstract
Objective : To evaluate the maternal & fetal outcomes of pregnancies, complicated by rheumatic heart diseases in a developing country. Methods: This was a 3 ½ years observational study carried out in 100 pregnancies in a women with rheumatic heart disease from January 2015 to June 2018 at a tertiary care centre in India. Results : Mitral stenosis was the commonest lesion (38%) caused by rheumatic fever. 75% of pregnancies were in NYHA class II group, 72% of patients had spontaneous vaginal delivery. The incidence of PAH (mild to moderate) was 53% & CCF developed in 14% cases. No maternal deasth occur in our study. The incidence of LBW baby was 40%. Intrauterine fetal death was noted in one case (1%) only. Conclusion: Heart diseases in pregnancy has a major impact on pregnancy outcome. Multidisciplinary cooperation, proper pre-conceptual & antenatal care are the key measure to improve the fetomaternal outcome.
Authors and Affiliations
Dr. Saikat Sau, Dr. Swapan Das
Keywords
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