Management of fetal structural cardiac disease in pregnancy

2011 ◽  
Author(s):  
Nick Archer ◽  
Nicky Manning
Keyword(s):  
Prenatal Diagnosis ◽  
Cardiac Disease ◽  
Significant Proportion ◽  
Post Mortem ◽  
Fetal Intervention ◽  
Place Of Delivery ◽  
Mortality And Morbidity ◽  
Neonatal Deaths ◽  
Postnatal Outcome ◽  
In Pregnancy

Introduction 304Diagnosis 306Counselling 308Management of pregnancy 310Fetal intervention 312Management of delivery 314Place of delivery 316Future pregnancies 318Cardiac abnormalities account for approximately 20% of neonatal deaths and in some the cardiac cause is only identified at post-mortem; a significant proportion of CHD remains undetected during pregnancy and thus does not influence management of the pregnancy or delivery. However, there are some lesions whose early postnatal management may be altered in the light of prior knowledge and thus prenatal diagnosis may improve postnatal outcome both in terms of mortality and morbidity....

scholarly journals Case series of prenatal diagnosis of fetal intrahepatic lesions and postnatal outcome

Ultrasound ◽  
2019 ◽  
Vol 27 (2) ◽  
pp. 127-130
Author(s):  
Sangeeta Pathak ◽  
Liliana Grosu
Keyword(s):  
Prenatal Diagnosis ◽  
Literature Review ◽  
Fetal Liver ◽  
Case Series ◽  
Evidence Based ◽  
Careful Planning ◽  
Place Of Delivery ◽  
Antenatal Ultrasound ◽  
Prenatal Detection ◽  
Postnatal Outcome

With advancing technology, it is becoming common for antenatal ultrasound to detect echogenic lesions in fetal abdomen. Paucity of data in this field, however, makes it difficult to counsel patients. We report four cases of fetal liver echogenic lesions, postnatal outcome (delivered during 2015–2016) and a literature review to increase awareness. Intrahepatic calcification is relatively common with an incidence of approximately 5–10 in 10,000 pregnancies. Prenatal detection of echogenic lesions in fetal abdomen causes huge anxiety and stress to parents; therefore, it is important for the ultrasonographers to be up to date with the evidence-based management of these lesions. Most lesions would carry no or little risk to neonate; however, few cases may require careful planning to optimise the time and place of delivery. We describe four cases between February 2015 and December 2016 using machine Voluson S6 and E8.

MATERNALAND FETAL OUTCOME IN PREGNANCY WITH HEART DISEASES

2021 ◽  
pp. 46-47
Author(s):  
Sweety Sinha
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Cardiac Disease ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Mode Of Delivery ◽  
Fetal Outcome ◽  
College Hospital ◽  
Mortality And Morbidity ◽  
In Pregnancy

Background: Cardiac disease is an important cause of maternal mortality and morbidity both in antepartum and postpartum period. The overall incidence of heart disease in pregnancy is <1%. Objective of present study was to determine maternal outcome in pregnant women with heart diseases in terms of fetal complication, maternal complication and Mode of delivery. Methods: This study was conducted in the Department of Obstetrics and Gynaecology at PATNA MEDICAL COLLEGE,HOSPITAL,patna. 40 women with heart disease which were previously established or diagnosed during pregnancy were enrolled in the study. Results:In 40 women pregnancies was complicated by heart disease in the study. The prevalence of heart disease amongst all pregnancies found in hospital was 4.3%. The principal cause of cardiac lesion was Rheumatic heart disease (RHD) (62.5%) while congenital heart disease was seen in 12.5%. Among the women who had RHD, mitral stenosis seen in 15 (37.5%) was most common lesion and Multiple cardiac lesions 10 (25%) women. Among the women with congenital cardiac disease, mitral valve prolapse was most common constituting 5 (12.5%) cases. women delivered by caesarean section were14(35%) while 26(65%) had vaginal delivery. with spontaneous onset of labour in 20(50 %)and assisted instrumental vaginal delivered in 6 patients. There was 1 maternal death. No baby had congenital heart disease. 70% babies born weighed more than 2kg. Conclusions:This study concluded that pre- pregnancy diagnosis, counselling, appropriate referral, antenatal supervision and delivery at equipped centre improve the pregnancy with heart disease outcome for both mother and baby

scholarly journals Characteristics shifting of heart disease in pregnancy: A report from low middle-income country

2021 ◽  
Author(s):  
Cyntia Puspa Pitaloka ◽  
Absa Secka ◽  
Ernawati Ernawati ◽  
Agus Sulistyono ◽  
Hermanto Tri Juwono ◽  
...  
Keyword(s):  
Developing Countries ◽  
Heart Disease ◽  
Pregnant Women ◽  
Cardiac Disease ◽  
Cardiac Complications ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Acquired Heart Disease ◽  
Heart Disease In Pregnancy ◽  
In Pregnancy

Background: Heart disease in pregnancy is one of the leading causes of maternal mortality and morbidity in developing countries. However, the characteristics of the disease vary between countries and regions. This study aimed to present the characteristics of pregnant women with heart disease in an economically advantageous region of a developing country.Design and methods: A cross-sectional study was conducted using data from the Weekly Report of Obstetrics and Gynaecology Department to assess pregnant women with heart disease characteristics and pregnancy outcomes. A total sample of 69 pregnant women with heart disease regarding their gestational age was included in the study. Variables observed were maternal characteristics, heart disease's clinical parameters, and maternal and neonatal outcomes. Chi-square test was used to examine the different characteristics of congenital and acquired heart disease groups.Results: The prevalence of cardiac disease in pregnancy was 5.19%. Fifty-three point six percent of pregnant women with heart disease were suffered from congenital heart disease (CHD), while 46.4% were acquired heart disease (AHD). Most labor methods were Cesarean delivery, and 69.6% of women experienced cardiac complications. Maternal death was reported in 8.69% of cases. Four cases were CHD complicated by pulmonary hypertension, which leads to Eisenmenger syndrome. Two other cases were AHD complicated by Peripartum Cardiomyopathies. Although statistically insignificant, complications are more common in the AHD group than CHD.Conclusion: Cardiac disease prevalence in pregnancy is considered high, with CHD as the most common case, which significantly differs from other developing countries.

The secrets of placental mosaicism: clinical observation of the full form of confined placental trisomy 22 and literature review

2020 ◽  
Author(s):  
I.V. Komarova, A.A. Nikiforenko, A.V. Fedunyak
Keyword(s):  
Prenatal Diagnosis ◽  
Literature Review ◽  
Fetal Growth ◽  
Fetal Growth Restriction ◽  
Clinical Observation ◽  
Growth Restriction ◽  
Favorable Outcome ◽  
Full Form ◽  
Placental Mosaicism ◽  
In Pregnancy

Literature reports of placental mosaicism, including trisomy 22, were analyzed. The chance of correlation of placental aneuploidy with fetus aneuploidy, also the probability of complications in pregnancy and fetal growth restriction and postnatal patients growth in the cases of confined placental mosaicism, were demonstrated. The case of prenatal diagnosis of confined placental mosaicism of trisomy 22 with favorable outcome is presented. The necessity of cytogenic assay of amniocytes and fetal lymphocytes in the case of placental heteroploidy diagnosis was emphasized.

scholarly journals EP01.04: Prenatal diagnosis and postnatal outcome of agenesis of the corpus callosum: a retrospective multicentre study

2017 ◽  
Vol 50 ◽  
pp. 258-258
Author(s):  
K. Yusupov ◽  
M. Esetov ◽  
G. Bekeladze ◽  
M. Ibatullin ◽  
E. Nedopekina
Keyword(s):  
Prenatal Diagnosis ◽  
Corpus Callosum ◽  
Multicentre Study ◽  
Postnatal Outcome

Prenatal diagnosis and postnatal outcome of fetal intracranial hemorrhage

2013 ◽  
Vol 30 (3) ◽  
pp. 411-418 ◽  
Author(s):  
Mehmet Serdar Kutuk ◽  
Ali Yikilmaz ◽  
Mahmut Tuncay Ozgun ◽  
Mehmet Dolanbay ◽  
Mehmet Canpolat ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Intracranial Hemorrhage ◽  
Postnatal Outcome

CARDIAC DISEASE IN PREGNANCY: HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY AND PULMONIC STENOSIS

2021 ◽  
Author(s):  
David E. Arnolds ◽  
Chad Dean ◽  
Mohammed Minhaj ◽  
William T. Schnettler ◽  
Jennifer Banayan ◽  
...  
Keyword(s):  
Cardiac Disease ◽  
Hypertrophic Obstructive Cardiomyopathy ◽  
Pulmonic Stenosis ◽  
In Pregnancy

scholarly journals Perinatal Findings in Pregnancy Induced Hypertension: A Study in a Tertiary Teaching Hospital in Dhaka City

2017 ◽  
Vol 2 (1) ◽  
pp. 10-13
Author(s):  
Zobaida Sultana Susan ◽  
Surayea Bulbul ◽  
Jannat Ara Ferdows ◽  
Abu Nayeem
Keyword(s):  
Cross Sectional Study ◽  
Fetal Mortality ◽  
Pregnancy Induced Hypertension ◽  
College Hospital ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Tertiary Teaching ◽  
Induced Hypertension ◽  
Questionnaire Result ◽  
In Pregnancy

Background: Hypertensive disorders are common complication occurring during pregnancy which are responsible for maternal and fetal mortality and morbidity. Objective: The purpose of the present study was to determine the perinatal outcome in pregnancy induced hypertension. Methodology: This study was designed as cross-sectional study and was conducted from April 2013 to September 2013 for a period of six (06) moths. Patients admitted in the Department of Obstetrics and Gynaecology at Shaheed SuhrawardyMedical College Hospital, Dhaka. Data were collected by interview, physical examintions (blood pressure, pulse rate, oedema, heart and lungs auscultation) and lab investigations using a structural questionnaire. Result: Majority of the women belonged to age group 21-25 year. Maximum were (56%) primigravida. The mean gestational age was 34.6 weeks with the range from 28 to 40 weeks. Hyperurecaemia was frequent among patients with pregnancy induced hypertension. Intrauterine growth retardation (IUGR) was secondary to pregnancy induced hypertension which was associated with significantly increased perinatalmortality. Conclusion: In this study, prematurity is frequent in pregnancy induced hypertension and convulsion in nonresponsive patients is associated with significantly increased perinatal mortality.Journal of National Institute of Neurosciences Bangladesh, January 2016;2(1): 10-13

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