Clinical study of cardiac diseases during pregnancy

Kamat, Amitha; Dama, Swetha

doi:10.18203/2320-1770.ijrcog20160598

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…The authors also found mitral stenosis to be the most common cardiac condition which was seen in 40.5% cases the other valvular involvement reported by the authors include mitral regurgitation and mixed valvular involvement. 15 The findings of this study were similar to our study.…”

Section: Discussionsupporting

confidence: 91%

Maternal and perinatal outcome in heart disease complicating pregnancy

Kumar¹,

Tandi²,

Thalla³

2021

Int J Reprod Contracept Obstet Gynecol

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Background: Congenital as well as acquired heart diseases remain one of the important factors complicating pregnancy and remains a significant cause of maternal as well as perinatal morbidity and mortality. Pregnant women with cardiac diseases need a comprehensive management strategy to minimize the adverse effect of cardiac conditions on pregnancy and its outcome.Methods: This was an observational study conducted in a tertiary care hospital located in an urban area. Pregnant patients diagnosed to be having congenital or acquired heart diseases and admitted either in ward, labour room or intensive care unit were included in this study on the basis of a predefined inclusion and exclusion criteria. Detailed history was taken and clinical examination was done in all the cases. Patients were classified according to New York Heart Association. Maternal and perinatal Outcome was studied in cases.Results: The incidence of cardiac disease amongst pregnant patients during study period was found to be 0.58%. The mean age of studied cases was found to be 23.16±5.06 years. Most of the patients were primigravida (85.71%) and 6 patients (14.29%) were multigravida. The majority of the patients (76.19%) belonged to NYHA grade I whereas 8 (19.05%) patients belonged to NYHA class II. 1 patient belonged to NYHA Class III and Class IV respectively. Isolated mitral stenosis secondary to rheumatic valvular involvement was the single most common lesion seen in studied cases and was seen in 8 (19.05%) patients. Ventricular septal defect was most common congenital heart disease (14.28%). 26 (61.90 %) delivered by normal vaginal delivery whereas emergency and elective LSCS was done in 9 (21.43%) and 6 (14.29%) patients respectively. nature of cardiac disease was common factor for elective cesarean section which was done in 5 cases (11.90%). Postpartum cardiac failure (14.29%) and postpartum hemorrhage (9.52%) were common maternal complications. 24 (57.14%) neonates required admission in neonatal intensive care unit. The most common indication for NICU admission was found to be low birth weight (23.81%) followed by birth asphyxia (19.05%).Conclusions: Cardiac disease in pregnancy is associated with increased risk of maternal as well as perinatal morbidity and mortality. Early diagnosis and management during pregnancy is essential to reduce maternal as well as perinatal outcome in these cases.

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Section: Discussionsupporting

confidence: 91%

Maternal and perinatal outcome in heart disease complicating pregnancy

Kumar¹,

Tandi²,

Thalla³

2021

Int J Reprod Contracept Obstet Gynecol

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“…In our study out of 100 patients 2 were died due to cardiac failure and sepsis which was comparable to the study done by Saima Salam 12 and Kamat. 13 Both were of term gestation and one was delivered vaginally developed peripartum cardiomyopathy and the other a known case of congenital heart disease delivered through caesarean section.…”

Section: Discussionmentioning

confidence: 99%

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

Kothapalli¹,

Akkamamba²,

Medapati³

et al. 2019

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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.

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Clinical study of cardiac diseases during pregnancy

Cited by 2 publications

References 6 publications

Maternal and perinatal outcome in heart disease complicating pregnancy

Maternal and perinatal outcome in heart disease complicating pregnancy

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

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