Keywords : rheumatic heart disease
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 3, Pages 1136-1144
Aim &Objective: To study Incidence of different types of heart disease in pregnancy and Maternal and Foetal Outcome of Heart Disease in Pregnancy in A Tertiary Care Centre.
Material & Methods: Prospective observation study was conducted in the Depatment of Obstetrics and Gynecologya tertiary care hospital in Aurangabad district of Maharashtra state from October 2019 to September 2021. All patients who fulfilled the inclusion and exclusion criteria during the study period were included in the study analysis.
Observations & Results: In present study, the incidence of heart diseasewas 0.53%, maximum cases 38.6% were from age-group of ≥25-29 years. 51.3% cases were reported from rural area and 41.9% belonged to upper lower class. 93.6% were booked. 51.3% of cases were having Class II of NYHA classification. The most common heart disease was rheumatic 101(53.4%) followed by congenital heart disease i.e 84(44.4%).Among congenital cardiac lesion the most common was ASD 36(42.9%). InRheumatic cardiac lesion the most common was Mitral stenosis 65(64.3%). Maternal mortality was reported in 05(2.6%) cases, causes of mortality were due to CCF in 3(1.6%) and pulmonary Embolism Sec to RHD and Left Ventricular Failure in CHD in Severe Pre-enclampsia. 01(0.5%)
Conclusion: This study concluded that pre-pregnancy diagnosis, counselling, appropriate referral, routine antenatal supervision and delivery at an equipped centre improve the pregnancy with heart disease outcome for both mother and baby. The study also observed the improved maternal and fetal outcomes in women who had undergone corrective cardiac surgeries before the pregnancy.