European Journal of Molecular & Clinical Medicine

Abstract

Aim: This prospective study on maternal and fetal outcome in pregnancies with maternal cardiac diseases.
Methodology: The study was conducted in the Department of Obstetrics and Gynaecology, Modern Government Maternity Hospital, Petlaburj, Osmania Medical College, Hyderabad from September 2019 to September 2020.
Results: 100 cases of heart disease complicating pregnancy were studied. The prevalence of heart disease among the women who delivered here was 1.29%. Of 100 women, 86 were admitted for safe confinement and 14 cases were admitted for first trimester abortion. 33% of the women were diagnosed to have heart disease for first time in pregnancy. Of these, RHD was seen in 19% of cases, MVP seen in 6%, CHD in 7% cases, CHB in 1%. Teenage pregnancy with heart disease was found in 11 cases. Rheumatic heart disease is seen in 56% of the cases and congenital heart disease in 29% of the women. 98 women (98%) had NYHA class I or II symptoms.  Isolated MS was seen in 19 cases (33.34%). ASD was the commonest congenital heart disease, seen in 10 (34.48%) women. ASD with PHT is seen in 2 cases. 23 women had undergone cardiac corrective surgeries. Of these surgery for congenital heart disease was done in 15 patients, 8 patients underwent surgery for RHD. 56 women (65.20%) delivered by Cesarean section and 30 (34.8%) by vaginal route. Intraoperative complications and postoperative complications were seen in 6 cases. The number of NICU admissions was 35. 6 babies were preterm. One maternal death (1%) was noted during our study. Pulmonary embolism with cardio respiratory Arrest in the postop period found to be the cause.
Conclusion: Universal access to obstetric and cardiac care and use of standard treatment protocol will definitely improve the outcome in women with cardiac disease.