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  2. Volume 9, Issue 4
  3. Author

Online ISSN: 2515-8260

Volume9, Issue4

A prospective observational study on maternal and fetal outcome in pregnancies with maternal cardiac diseases

    Dr. P Sangeetha Lakshmi, Dr. Afrose Fathima, Dr. Afreen Shariff

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 3989-4002

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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.
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(2022). A prospective observational study on maternal and fetal outcome in pregnancies with maternal cardiac diseases. European Journal of Molecular & Clinical Medicine, 9(4), 3989-4002.
Dr. P Sangeetha Lakshmi, Dr. Afrose Fathima, Dr. Afreen Shariff. "A prospective observational study on maternal and fetal outcome in pregnancies with maternal cardiac diseases". European Journal of Molecular & Clinical Medicine, 9, 4, 2022, 3989-4002.
(2022). 'A prospective observational study on maternal and fetal outcome in pregnancies with maternal cardiac diseases', European Journal of Molecular & Clinical Medicine, 9(4), pp. 3989-4002.
A prospective observational study on maternal and fetal outcome in pregnancies with maternal cardiac diseases. European Journal of Molecular & Clinical Medicine, 2022; 9(4): 3989-4002.
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