Maternal and fetal outcomes in pregnancies complicated with maternal cardiac diseases: Our experience

Aaliya Tabasum; Babar Zargar

Volume : VIII, Issue : II, February - 2019

Maternal and fetal outcomes in pregnancies complicated with maternal cardiac diseases: Our experience

Aaliya Tabasum, Babar Zargar

Abstract :

Background: Maternal and neonatal complication rates are increased in pregnant women with heart disease. Multidisciplinary approach can optimize the patient care Aims: To analyze the outcomes of pregnancies complicated with maternal cardiac diseases. Methods and results: Pregnancy outcomes were retrospectively analyzed in 132 consecutive pregnancies admitted from January 2011 to January 2014. Women were classified according to pre-defined risk predictors as high-risk group having 35patients(left ventricular [LV] ejection fraction <50%, NYHA class>II or cyanosis) or low-risk group with 97 patients(not meeting these criteria). Primi gravida patients accounted for 48.48 %(64) and 28.03%(37) patients were second gravida. Majority of our patients had rheumatic etiology(71.96%) and Mitral stenosis was the most common lesion accounting for 43.15% patients.Maternal complications included Congestive cardiac failure in 58(43.9%), Respiratory tract infections in 28(21.20%), Pulmonary embolism in 2(1.51%) and Post-partum infective endocarditis in 1(0.75%) patient . Conclusions: Rheumatic heart diseases still remain common in developing countries with high complication rates in pregnancies complicated with heart diseases. Accurate assessment and categorization as high and low risk with intensive multidisciplinary approach leads to optimization of treatment protocols leading to improved maternal as well as fetal outcomes.