Volume : 8, Issue : 3, March - 2019

A STUDY OF MATERNAL AND FETAL OUTCOME IN PREGNANCIES COMPLICATED BY CARDIAC DISEASE

Dr. Rashmi. H. S, Dr. Nandish S. Manoli, Dr. Srinivas. H. T

Abstract :

Background: Approximately 1% of pregnancies are complicated by cardiac disease, and the management of these cases can challenge the entire team providing care to the mother and fetus. Rheumatic heart disease, despite declining incidence among western population still accounts for most cases in the developing nations. However, the incidence of congenital heart disease in pregnant patient is steadily increasing, as greater number of women with congenital heart lesions reach child bearing age due to improvement in medical and surgical therapies. Material and methods: 50 Pregnant women with cardiac disease were followed up during antenatal period, evaluated and maternal and fetal outcome was studied. Results: Majority of the women belonged to age group between 21 to 30 years (78.33%). Majority of them belonged to NYHA class I and II (88.33%). The maternal and perinatal outcome was found to be good in these women. Rheumatic heart disease was the predominant cardiac disease (46.66%) followed by congenital heart disease (31.66%). The incidence of cardiac complications was 13.33% in this study, CCF/Pulmonary edema in 8.33%, arrhythmias in 3.33% and thromboembolism in 1.66% of cases. Maternal congenital heart disease was found as an independent risk factor for neonatal malformations (1.66%). Perinatal complications were observed in 17% of pregnancies.