Maternal and perinatal outcomes of pregnancies complicated by cardiac disease

Koregol, Mahesh and Mahale, Nina and Nayak, Radhakrishna and Bhandary, Amritha (2009) Maternal and perinatal outcomes of pregnancies complicated by cardiac disease. Journal of the Turkish German Gynecological Association, 10. 30-4-34.

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Abstract

Objective: To evaluate the maternal and fetal outcomes of pregnancies, complicated by cardiac disease in a developing country. Material and Method: A retrospective analysis was carried out in 110 pregnancies in women with cardiac disease from January 1995 to December 2006 at a tertiary care centre in India. Results: Rheumatic heart disease with isolated mitral stenosis (n=49) was the predominant cardiac problem. 9 Patients (8.18%) had undergone surgical correction prior to pregnancy. Cardiac complications were noted in 20 (18.18%) patients, out of which 12 had pulmonary oedema. Maternal mortality was noted in 4 patients (3.6%), 3 of which were due to pulmonary oedema. The incidence of small for gestational age was noted in 48 (46.3%) patients, still birth was noted in seven (6.8%) babies and neonatal death was noted in three patients (2.9%). Conclusions: Rheumatic heart disease was the predominant cardiac problem in pregnancy. Maternal and perinatal morbidity and mortality are strongly correlated with maternal cardiac functional classification.

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