Feto-Maternal Outcome of Pregnancy in Females Presenting With Cardiac Disease

Naima Khan, Zarmeen Sultan, Ifra Shafique
2021 Zenodo  
Introduction: The presence of maternal heart disease has an adverse effect on pregnancy outcomes. Objectives: To assess the feto-maternal outcome of pregnancy in females presenting with cardiac disease. Study Design: This descriptive case series was conducted in department of obstetrics and gynecology, unit-I, Jinnah hospital, Lahore. Subjects and Methods: A total of 160 patients were included in this study, after delivery, birth weight was noted and lbw was labeled if weight was low. If baby
more » ... was low. If baby died within 48 hours, then neonatal mortality labeled (as per operational definition). Females were followed-up in OPD and called for postpartum examination. If female died within 7 days, then maternal mortality labeled. Results: Mean ± SD age of patients was 26.5 ± 4.5 years. Majority of women were between 26-40 years of age. Mean ± SD gestational age was 36.6 ± 2.2 weeks, mean duration of disease was 6.4 ± 3.8 years, and mean BMI was 35.5 ± 8.5 kg/m2. There were 80 (50 %) nulliparous and 80 (50 %) multiparous. Majority of the patients were obese. Most common severity of disease was moderate 82 (51.2 %) and least severity of cardiac disease was mild 30 (18.8 %). Preterm deliveries were 57 (35.6 %). low birth weight babies were 84 (52.5 %). Neonatal mortality was 24 (15 %) and maternal mortality was 6 (3.8 %). stratification for age, gestational age, parity, obesity, severity of cardiac disease and duration of diseases was also carried out. Conclusion: Heart disease in pregnancy is associated with significant morbidity, it should be carefully managed in a tertiary care hospital to obtain optimum maternal and foetal outcome.
doi:10.5281/zenodo.4843799 fatcat:hazodnczyvehpkpzndqqiymmqy