Clinical and echocardiographic assessment of pregnant women with valvular heart diseases—maternal and fetal outcome

Leśniak‐Sobelga, Agata; Tracz, Wiesława; Kostkiewicz, Magdalena; Podolec, Piotr; Pasowicz, M

doi:10.1016/j.ijcard.2003.03.017

Cited by 131 publications

(84 citation statements)

References 25 publications

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“…Detailed assessment of patient throughout pregnancy may lead to initial discovery of heart disease during this period. 3 If diagnosed early and managed properly with multidisciplinary approach, collaboration of a team of obstetrician, cardiologist, anesthetist, pediatrician and nurse, it results in successful outcome for mother and child in majority of case.…”

Section: Introductionmentioning

confidence: 99%

Maternal and perinatal outcomes of pregnancies complicated by cardiac disease at tertiary level hospital of Uttarakhand

Chaudhari¹,

Gupta²,

Kumari³

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Background: Cardiac disease is the most common cause of indirect maternal deaths and most common cause of death overall. It complicates 1% of all maternal deaths. The maternal and neonatal risks associated with pregnancy in women with cardiac disease receiving comprehensive prenatal care have not been well defined. Objective of present study was to evaluate the burden of cardiac diseases in pregnancy in our hospital, their clinical presentation, type of cardiac lesion, associated complications, maternal and fetal outcome. Methods: A retrospective study was conducted in Obstetrics and gynecology department at Shri Guru Ram Rai Institute of medical and health sciences, Dehradun from January-2013 to December-2015. All patients with cardiac diseases during pregnancy or developed during postpartum period were included in the study. Detailed Demographic profile of patients, mode of delivery, perinatal outcome, associated antenatal, intranatal and postnatal complications were analyzed in detail. Results: There were 37 patients with cardiac disease during pregnancy in our study period. Out of these 32.4% were diagnosed during current pregnancy. Rheumatic heart diseases were seen in 54.05% patients and congenital heart disease seen in 35.1%. out of these 81.1% patients belonged to NYHA class I and II and 18.9% patients in class III & IV. Majority of patients (78.3%) had vaginal delivery. We observed 5.4% maternal mortality and 2.7% of neonatal mortality rate. Conclusions: Pregnancy in women with heart disease is associated with significant cardiac and neonatal complications. Multidisciplinary approach involving cardiologist, obstetrician and neonatologist improves fetomaternal outcome.

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Section: Introductionmentioning

confidence: 99%

Maternal and perinatal outcomes of pregnancies complicated by cardiac disease at tertiary level hospital of Uttarakhand

Chaudhari¹,

Gupta²,

Kumari³

et al. 2017

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…6 The rate of fetal morbidity, including fetal growth restriction and preterm birth, rises with the severity of MS from 14 % in pregnant patients with mild MS, to 28and 33% in pregnant patients with moderate and severe MS, respectively. 19 In present study, there were 34 patients (27.6%) of 123 rheumatic pregnant females included were undergone mitral valve replacement, and 14 patients (11.4%) were undergone valvoplasty (balloon dilatation). Regarding the mode of delivery and antenatal care, there was no significant difference between modes of delivery in both groups.…”

Section: Discussionmentioning

confidence: 72%

Pregnancy outcome in rheumatic mitral stenosis patients with and without surgical correction: a prospective cohort study

Bahloul¹,

Michael²,

Kandeel³

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Background: The aim of the current study is to assess the maternal and fetal outcomes of pregnant females with and without surgically corrected mitral stenosis (MS).Methods: A cross sectional study was carried out at Assiut Women's Health Hospital, Egypt between February 2016 and December 2016. All pregnant women diagnosed with rheumatic heart disease attending the antenatal care clinic were enrolled in the study. They were divided into two groups according to previous surgical correction of MS or not. All women were followed up during pregnancy till the end of puerperium. The primary outcome of the study was the difference in the rate of maternal cardiac complications during pregnancy between both groups.Results: The study included 48 patients (39%) with surgically corrected MS and 75 patients (61%) with uncorrected MS. All cardiac complications were significantly higher in the uncorrected MS group (p <0.05). No difference between both groups in the mode of delivery (p=0.52). Postpartum hemorrhage is more common with the corrected MS group than the uncorrected group (25% vs. 9.3% respectively, p=0.003), while the need for postpartum admission to ICU was significantly higher in the uncorrected group (p=0.006). The mean birth weight was higher in the corrected MS group (p=0.000). The percentage of stillbirths and the rate of admission to PCU was higher in the uncorrected MS group (p=0.003).Conclusions: Surgical correction of MS significantly improves the maternal and fetal outcomes of rheumatic heart pregnant females with MS.

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“…8 The transvalvular gradient and jet velocity that are measured during pregnancy may be higher than in the post-pregnancy state. 13,14 Therefore, one could argue that this was not a true case of severe AS. However, the reduction in transvalvular gradient following pregnancy is not associated with a reduction in the degree of stenosis.…”

Section: Discussionmentioning

confidence: 97%

Noninvasive cardiac output monitoring during general anesthesia for Cesarean delivery in a patient with severe aortic stenosis

Fanning

Balki

Sermer

et al. 2011

Can J Anesth/J Can Anesth

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Clinical and echocardiographic assessment of pregnant women with valvular heart diseases—maternal and fetal outcome

Cited by 131 publications

References 25 publications

Maternal and perinatal outcomes of pregnancies complicated by cardiac disease at tertiary level hospital of Uttarakhand

Maternal and perinatal outcomes of pregnancies complicated by cardiac disease at tertiary level hospital of Uttarakhand

Pregnancy outcome in rheumatic mitral stenosis patients with and without surgical correction: a prospective cohort study

Noninvasive cardiac output monitoring during general anesthesia for Cesarean delivery in a patient with severe aortic stenosis

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