期刊论文详细信息
New Indian Journal of OBGYN
A clinical study on maternal heart diseases complicating pregnancy at tertiary care hospital
article
Shyamsundar B1  Vinayraju D1  Seeta Garag1 
[1] Department of Obstetrics and Gynecology
关键词: Cardiac diseases;    RHD;    CHD;    MS;    VSD;    maternal outcome.;   
DOI  :  10.21276/obgyn.2021.7.2.21
学科分类:社会科学、人文和艺术(综合)
来源: Barpeta Obstetrics and Gynaecological Society
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【 摘 要 】

Background: Cardiac diseases complicate 1- 4% of pregnancies in women without pre-existing cardiacabnormalities. Cardiac disease in the pregnant woman can present a challenge to the obstetrician, cardiologist andneonatologist. Objectives: Aim is to study the burden of the disease, maternal and neonatal outcome in the cardiacdisease complicating pregnancy. Methods: This study is a prospective observational study conducted among theantenatal women admitted in the department of OBG at KIMS, Hubli with a previously diagnosed cardiac disease ordiagnosed after admission during index pregnancy from December 2016 to may 2018. The mothers and the babieswere followed up till discharge. Maternal outcome was noted as discharged or died. The perinatal outcome wasnoted in terms of death, presence of congenital heart disease or other anomalies. Results: A total of 66 patients withcardiac disease among 16519 deliveries, were included in the study constituting the prevalence rate of 0.39%.Maximum number of the patients are in the age group between 20-24 year (65.8%). RHD (Rheumatic heart disease)being the commonest constituting 53.9 % (N=41). Among 41 RHD isolated MS (Mitral stenosis) found among 19cases the dominant lesion. CHD (Congenital heart disease) being the second commonest found in 17 cases with VSD(Ventricular septal defect) being commonest. About 9 newborns had CHD detected in echocardiogram. 61.8% of thepatients delivered vaginally. There were 5 maternal deaths due to cardiac disease. Conclusion: As RHD was commonin rural population, and the need for penicillin prophylaxsis among them in adolescent girls. The facilities for cardiacsurgery should be made available at affordable prices will definitely go a long way in reducing the mortality andmorbidity related to cardiac disease. It is also necessary to follow up these patients in their future pregnancies.

【 授权许可】

CC BY-NC-SA   

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