Clinical Study of Cardiac Diseases during Pregnancy in a Tertiary Care Center, Kakinada

Abstract

A B S T R A C T BACKGROUNDCardiovascular abnormalities are considered to be the most important non obstetric cause of morbidity. The primary objective of the present study is to assess the effect of heart diseases in pregnancy and its outcome. If diagnosed early and managed properly with multidisciplinary team approach, collaboration of trained obstetrician, cardiologist, anaesthetist, paediatrician and nurse, it results in a successful outcome for mother and child in majority of cases. The primary objective of the present study is to assess the effect of heart diseases on pregnancy and its outcome METHODSThe study was carried out in a tertiary care centre, GGH KKD over the period January 2018-January 2019. All antenatal patients having cardiac diseases either previously diagnosed or diagnosed during antenatal visits, early postnatal patients with booked antenatal visits, referrals with cardiac diseases, emergency admissions, patients who developed cardiac complications during peripartum period were included in the study. Data was statistically analysed SPSS 16. RESULTSOut of a total of 10936 admissions in our hospital during the study period, there were 135 admissions with heart disease complicating pregnancy (1.23%). 100 of them were included in the study. The RHD (40%) was the principal cause of heart diseases among all the pregnancies. Second common cause is congenital heart diseases. Of these, 26% underwent cardiac surgery. Peripartum cardiomyopathy was found in 6% of patients. CONCLUSIONSThis study concluded that pre pregnancy diagnosis, counselling appropriate referral, routine antenatal supervision, and delivery at an equipped centre improve the foetomaternal outcome in pregnancy with heart disease.