Pregnancy complicated by maternal heart disease at the National Maternity Hospital, Dublin, Ireland, 1969 to 1978

Sugrue, D.; Blake, Sean; MacDonald, Dermot

doi:10.1016/0002-9378(81)90400-2

Cited by 68 publications

(44 citation statements)

References 21 publications

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“…KALP HASTALIĞI VE GEBELİK: MATERNAL VE FETAL SONUÇLAR Turkiye Klinikleri J Gynecol Obst 2015;25 (2) trombotik olaylarda artmış riskle ilgilidir. 4 Bu ça-lışmada antikoagülan tedavisi alan prostetik kapaklı 14 hastanın hepsi NYHA I-II fonksiyonel sınıfın-dadır ve bu kadınların bebeklerinin hiçbirinde fetal komplikasyon izlenmemiştir.…”

Section: Discussionunclassified

“…1 Gebelikteki kalp hastalığı prevalansı, farklı çalışmalarda %0,3-3,5 arasında değişmektedir. 2,3 Gebeliğin erken haftalarında, kardiyovasküler sistemde fizyolojik değişik-likler meydana gelir ve bunlar ikinci trimesterin sonlarında maksimum seviyeye ulaşır. Gebeliğin indüklediği bu değişiklikler, herhangi bir kardiyak hastalığı olmayan sağlıklı kadınları bile etkileyebilir.…”

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Heart Disease and Pregnancy: Maternal and Fetal Outcomes

Davutoğlu¹,

Yüksel²,

Öncül³

et al. 2015

Turkiye Klinikleri J Gynecol Obst

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Ö ÖZ ZE ET T A Am ma aç ç: : Kalp hastalığıyla komplike olan gebeliklerde maternal ve fetal sonuçların değer-lendirilmesidir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : 1997-2012 yılları arasında gebe polikliniğinde antenatal takipleri yapılmış ve doğumunu yine bu merkezde gerçekleştirmiş, kalp hastalığı olan 222 gebenin dosyası retrospektif olarak incelendi. Kalp hastalığının türüne ve New York Kalp Derneği [New York Heart Association (NYHA)]'nin kardiyak durum fonksiyonel sınıflamasına göre maternal ve perinatal sonuçlar değerlendirildi. B Bu ul lg gu ul la ar r: : Romatolojik ve konjenital kalp hastalıklarının yüzdesi sırasıyla %76,1 ve %15'tir. NYHA'nın fonksiyonel sınıflandırmasına göre hastaların dağılımı NYHA Sınıf I için 117 (%52,7), Sınıf II için 87 (%39,1), sınıf III ve IV için 18 (%8,2)'dir. İki maternal mortalite olgusu kaydedilmiştir. Maternal morbidite 31 (%13,9) olguda izlenmiş-tir. Perinatal mortalitenin olduğu 7 (%3,1) olgu kaydedilmiştir. Sezaryen, vakum ve forsepsle doğum açısından NYHA Sınıf I-II ve NYHA Sınıf III-IV arasında istatistiksel açıdan anlamlı bir fark yoktur (p=0,605). Ancak doğum ağırlığı, doğumdaki gestasyonel hafta, perinatal mortalite, maternal morbidite ve mortalite açısından istatistiksel olarak anlamlı fark bulunmuştur (sırasıyla p=0,023, 0,001, 0,035, 0,001 ve 0,024). S So on nu uç ç: : Gelişmekte olan ülkelerde gebeliği komplike eden kalp hastalıklarının büyük çoğunluğunu romatizmal kalp hastalıkları oluşturmaktadır. Hastaların çoğunluğu uygun fonksiyonel sınıfta yer almaktadır ve maternal morbidite maternal kardiyak fonksiyonel sınıflandırma ile yakından ilişkilidir.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Gebelik; kalp hastalıkları A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: To evaluate the maternal and fetal outcome of pregnancies complicated by cardiac diseases. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : A retrospective analysis of 222 pregnancies of women with cardiac disease who received antenatal care and were delivered in the obstetrics department of a tertiary care center between 1997 and 2012 was carried out. Perinatal and maternal outcomes were evaluated according to the type of the heart diseases and cardiac status of the patients according to the New York Heart Association (NYHA) functional classification. R Re es su ul lt ts s: : The percentage of rheumatic and congenital heart diseases were 76.1% and 15% respectively. The distribution of the patients according to the NYHA functional classification were 117 (52.7%), 87(39.1%) and 18(8.2%) for NYHA classes I, II and III-IV respectively. Two cases of maternal mortality were recorded. Maternal morbidity was observed in 31 (13.9%) cases. seven cases of perinatal mortality (3.1%) were also recorded. There were no statistical significance between NYHA Stage I-II and Stage III-IV groups in terms rates of cesarean, vacuum or forceps deliveries (p=0.605), whereas mean values birth weight, gestational age at delivery, mean birth weight, incidence of perinatal morb...

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Section: Discussionunclassified

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Heart Disease and Pregnancy: Maternal and Fetal Outcomes

Davutoğlu¹,

Yüksel²,

Öncül³

et al. 2015

Turkiye Klinikleri J Gynecol Obst

View full text Add to dashboard Cite

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“…[1][2][3][4] Prevalence of heart disease in pregnancy vary from 0.3-3.5%. 6 Cardiac output increases by 30-50% during pregnancy and a further increase during labour and delivery imposes a burden on diseased heart leading to complications and death. Cardiac disorders contribute to approximately 20.5% of maternal deaths.…”

Section: Introductionmentioning

confidence: 99%

Study of pregnancy outcome in women with cardiac disease: a retrospective analysis

Pandey

Verma

Gupta

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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“…Prevalence of heart disease in pregnancy vary from 0.3-3.5 % [1,2]. In the presence of maternal heart disease, the circulatory changes of pregnancy may result in decompensation or death of mother or fetus.…”

Section: Introductionmentioning

confidence: 99%

Pregnancy Complicated by Maternal Heart Disease: A Review of 281 Women

Konar

Chaudhuri

2012

J Obstet Gynecol India

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Objectives To study maternal heart disease in an Indian setting for: (1) different etiological factors, (2) different types of lesions, and (3) maternal and perinatal outcome. Methods 281 women with heart disease who delivered C28 weeks of gestation at different teaching institutions (tertiary care centres) in India were studied. Results Rheumatic heart disease (n = 195; 69.4 %) with isolated mitral stenosis (n = 75; 26.7 %) were the commonest. Septal defect (n = 27; 9.6 %) was the predominant lesion among the congenital heart disease (n = 60; 21.3 %) patients, whereas in the miscellaneous group (n = 26; 9.2 %), ischemic heart disease (n = 10; 3.6 %) was the leading cause. Multiple cardiac lesions were also diagnosed in 100 (35.58 %) women. In 87 (31 %) women, diagnosis was made first time in labor. Majority n = 131, (46.6 %) had spontaneous vaginal delivery and few (n = 9; 3.3 %) required induction of labor. Cardiac complications were noted in 72 women (25.6 %). There were three (1.06 %) maternal deaths and perinatal mortality was 4 % (n = 11). Conclusion In this study, rheumatic heart disease in pregnancy is still predominant though acquired cardiac lesions are rising. In rheumatic heart disease, mitral valve involvement was the commonest and multiple valve lesions were a major observation. Most common obstetric complication was small for gestation baby. Maternal morbidities in the unbooked women are high and congestive cardiac failure was the major cardiac complication.

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Pregnancy complicated by maternal heart disease at the National Maternity Hospital, Dublin, Ireland, 1969 to 1978

Cited by 68 publications

References 21 publications

Heart Disease and Pregnancy: Maternal and Fetal Outcomes

Heart Disease and Pregnancy: Maternal and Fetal Outcomes

Study of pregnancy outcome in women with cardiac disease: a retrospective analysis

Pregnancy Complicated by Maternal Heart Disease: A Review of 281 Women

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