scholarly journals Cardiac diseases in pregnancy: clinical profile and feto-maternal complications

2017 ◽  
Vol 6 (11) ◽  
pp. 4934
Author(s):  
Latika R. Mehta ◽  
Jagruti Shah
Keyword(s):  
Heart Disease ◽  
Cardiac Disease ◽  
Care Center ◽  
Tertiary Care ◽  
Team Approach ◽  
Cardiac Diseases ◽  
Tertiary Care Center ◽  
Maternal Complications ◽  
Fetal Complications ◽  
In Pregnancy

Background: Pregnancy in woman with heart disease increases the risk of maternal and fetal complications. About 1% of pregnant women have concomitant cardiac disease. The present research was conducted to study the profile of cardiac diseases in pregnancy and its associated complications.Methods: A prospective analysis was carried out of 55 pregnancies of women with cardiac disease from at a tertiary care center. Standard Ante-natal care was furnished to all patients subjective to their requirements. Condition of patient during labour as well as the progress of labour was closely monitored. Fetal and maternal outcome after delivery as well as development of any complication was noted and treated accordingly. Data was analyzed using SPSS software ver. 21.0.Results: In present study, RHD constituted 71% cases while CHD constitutes 11% of all cases of heart disease. Other etiologies were dilated cardiomyopathies (DCM) (12.7%), IHD (3.6%) and arrhythmias (18%). Most common anomaly associated with RHD cases was mitral stenosis (75%) either isolated or along with other valvular pathologies. Most common CHD was atrial septal defect seen in 4 out of 6 cases. A total of 8 patients (16%) developed complications of which, 4 had postpartum hemorrhage, 2 developed pulmonary oedema, 1 had arrhythmia and 1 patient developed septic shock and multi organ failure. A total of 74% babies were healthy while IUGR and intrauterine deaths were seen in 22% cases and 4% cases respectively.Conclusions: Rheumatic heart disease is the predominant type of cardiac disease in pregnancy. Maternal and perinatal outcome can be improved by team approach at tertiary care center. Counselling for contraception and family planning and follow up during subsequent pregnancies is mandatory.

scholarly journals A study of maternal and fetal outcome in cardiac disease in pregnancy at tertiary care center

2017 ◽  
Vol 6 (11) ◽  
pp. 5095
Author(s):  
Kurra Sai Pujitha ◽  
Sheela S. R. ◽  
Naga Jyothi S.
Keyword(s):  
Heart Disease ◽  
Cardiac Disease ◽  
Perinatal Death ◽  
Care Center ◽  
Tertiary Care ◽  
Adverse Outcomes ◽  
Cardiac Complications ◽  
Mitral Valve Stenosis ◽  
Tertiary Care Centre ◽  
In Pregnancy

Background: Cardiac disease complicating pregnancy is an indirect cause of maternal mortality. The incidence of cardiac disease during pregnancy has remained stable for many years even with significant decrease in the occurrence of rheumatic heart disease (RHD) as this decrease is being compensated by significant increase of pregnancy in women with congenital heart disease (CHD). Therefore, in this study we aim to analyse the incidence of cardiac disease in pregnancy and to assess the obstetrical outcome.Methods: A retrospective study carried out in 32 women with cardiac disorders at a tertiary care centre during the period of 5 years.Results: In the present study the incidence of cardiac disease in pregnancy was observed to be 0.21%. With 62.6% rheumatic, 21.8% congenital being and 15.6% peripartum cardiomyopathy. Among rheumatic valvular heart disease, mitral valve stenosis was most common followed by mitral regurgitation and tricuspid regurgitation. Non-cardiac complications like pre-eclampsia and anaemia were also noted. No of vaginal delivery were higher compared to caesarean (26 versus 6). Adverse perinatal outcomes in form of preterm, NICU admission and perinatal death were also noted.Conclusions: A cardiac disease has a major impact on pregnancy. It is a multidisciplinary teamwork to have optimal maternal and foetal outcome in women with cardiac disease. Hence, constant vigilance is required throughout antenatal, intrapartum and postpartum period to avoid adverse outcomes.

Perinatal Outcome in Pregnancy with Heart Disease at Tertiary Care Center

2018 ◽  
Vol 6 (3) ◽  
pp. 291-296
Author(s):  
Rita Saxena ◽  
◽  
Vasavi Bysani ◽  
Anjana Verma ◽  
Anuj Pandya ◽  
...  
Keyword(s):  
Heart Disease ◽  
Perinatal Outcome ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
In Pregnancy

scholarly journals Fetomaternal outcomes in pregnancy with different cardiac disease at a tertiary care center in Udaipur

2020 ◽  
Vol 9 (10) ◽  
pp. 3983
Author(s):  
Keerti Chaudhary ◽  
Sangeeta Sen
Keyword(s):  
Heart Disease ◽  
Pregnant Women ◽  
Gestational Age ◽  
Cardiac Disease ◽  
Systolic Function ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Cardiac Complications ◽  
Cardiac Diseases ◽  
In Pregnancy

Background: The incidence of maternal cardiac diseases has an adverse effect on pregnancy outcomes. The present study was done the objective to determine the Incidence and distribution of cardiac disease in pregnant patients, to assess mode of delivery and fetomaternal outcome in pregnancy with heart disease patients.Methods: This was a hospital based prospective observational study that include 65 pregnant women with diagnosed cardiac disease or had symptoms and signs suggestive of cardiac disease during the period from January 2018 to December 2019. Baseline data recorded including age, parity, gestational age, cardiac lesions, New York heart association (NYHA) functional class, use of cardiac medications, thorough clinical examination including chest and cardiovascular auscultation, ECG and echocardiographic assessment of left and right ventricular systolic function. Fetomaternal outcome was analysed in the study.Results: The mean age of the patients was 24.33±2.93 years (ranging from 19-36 years). 34 patients (52.30%) were primigravida. Majority (58.46%) cases were from rural area. Majority patients (70.77%) are present between 37-40 weeks of gestational age. Most of patients had vaginal delivery (64.62%). 43 patients (66.15%) diagnosed with heart disease after pregnancy, while 22 patients (33.85%) are diagnosed before pregnancy for heart disease. Neonatal complications were seen in in 35.38% of patients. Cardiac complications were present in 40% of patients. majority of fetal complications are in nonoperated patients (46.15%).Conclusion: The management of pregnant women with cardiac diseases requires multidisciplinary approach to prevent morbidity and mortality. It is necessary to optimize healthcare facilities to obtain maximum maternal and fetal outcome. 

scholarly journals Maternal and fetal outcome in cardiac disease in pregnancy: a retrospective study at tertiary care center

2018 ◽  
Vol 7 (11) ◽  
pp. 4399 ◽  
Author(s):  
Ritanjali Behera ◽  
Jayashree J. Moharana
Keyword(s):  
Developing Countries ◽  
Retrospective Study ◽  
Cardiac Disease ◽  
Mitral Stenosis ◽  
Care Center ◽  
Tertiary Care ◽  
Birth Asphyxia ◽  
Tertiary Care Center ◽  
Number Of Patients ◽  
In Pregnancy

Background: Cardiac disease in pregnancy is a high-risk pregnancy and major problem worldwide particularly developing countries. In present scenario the incidence of pregnancy with congenital heart disease is high in developed countries and they are landing with favourable outcome due to advance surgical correction of the defects. In developing countries, the incidence of RHD is still high. Therefore, in this study we aim to analyse the incidence of cardiac disease in pregnancy in our hospital and to assess the obstetric outcome.Methods: A retrospective study carried out in 22 number of patients with cardiac disease at tertiary care center during the period of 2 years.Results: In present study the incidence of cardiac disease in pregnancy was observed to be 0.15%.Among them the prevalence of RHD was high (68.1%).Out of which the most common valvular lesion was mitral stenosis (46.6%) followed by mitral stenosis with mitral regurgitation (26.6%).50% of the patients were in NYHA class 2.Majority delivered vaginally with instrumental application in second stage (95.4%).Obstetric complications observed in form of anaemia, preeclampsia, abruption placentae and preterm labour and one maternal  mortality. Perinatal morbidities observed in form of prematurity, SGA, birth asphyxia, MSAF, NICU admission.Conclusions: cardiac disease has major impact on pregnancy and its outcome. It is a team effort by obstetrician, cardiologist, neonatologist to achieve successful pregnancy. Regular antenatal checkup and strict vigilance during the risk period when patient may develop complications as a result of haemodynamic changes can avoid the complications.

Cardiac Disease complicating Pregnancy: A Tertiary Care Center Experience

2017 ◽  
Vol 3 (2) ◽  
pp. 41-44
Author(s):  
R Nagarathnamma ◽  
C Sarojamma ◽  
P Sneha
Keyword(s):  
Cardiac Disease ◽  
Intrauterine Growth Restriction ◽  
Neonatal Outcome ◽  
Care Center ◽  
Tertiary Care ◽  
Fetal Outcome ◽  
Adverse Outcomes ◽  
Tertiary Care Center ◽  
Maternal Complications ◽  
Intrauterine Growth

ABSTRACT Introduction Cardiac disease in pregnancy is a major problem worldwide, particularly in developing countries. It often poses a difficult clinical scenario with the responsibility of the treating obstetrician also extending to the unborn fetus. In the present study, we aim to know the maternal and fetal outcomes in pregnancies complicated by cardiac disease. Materials and methods All pregnant patients with cardiac disease who delivered at our institution during 2014 to 2016 were evaluated to look for the final pregnancy outcomes. Results Out of 36 study cases, 44.44% had no maternal complications, while 88.89% had good fetal/neonatal outcome. The commonest maternal cardiac complication was sustained tachyarrhythmia/bradycardia followed by pulmonary edema, while intrauterine growth restriction was encountered in fetal outcome. Conclusion Multidisciplinary team management of cardiac disease, led by an experienced obstetrician and cardiologist, reduces the adverse outcomes in pregnancies complicated by cardiac diseases. How to cite this article Sneha P, Sarojamma C, Nagarathnamma R. Cardiac Disease complicating Pregnancy: A Tertiary Care Center Experience. J Med Sci 2017;3(2):41-44.

scholarly journals Obstetrics outcome in pregnant women with cardiac disease in tertiary care center, Dehradun - India

2019 ◽  
Vol 9 (1) ◽  
pp. 313
Author(s):  
Prachi Singh ◽  
Namrata Saxena ◽  
Vineeta Gupta ◽  
Neeta Bansal ◽  
Yashika Pehal
Keyword(s):  
Heart Disease ◽  
Pregnant Women ◽  
Cardiac Disease ◽  
Care Center ◽  
Tertiary Care ◽  
Disease Patient ◽  
Pregnant Patient ◽  
Fetal Outcome ◽  
Reproductive Age ◽  
Tertiary Care Center

Background: Incidence of heart disease in pregnancy is about 1%. Pregnant patient with cardiac disease can present with lot of challenges for the obstetrician, paediatrician and the cardiologist. With improvement in diagnostic, medical, surgical management, more patient with cardiac diseases especially congenital are able to reach reproductive age. Therefore, still a cardiac disease remains a significant cause of maternal death. Maternal and fetal prognosis both is affected by the care given and the skills used in the treatment of the individual patient. Hospital has resulted in majority of cardiac disease patient being managed in a tertiary care center and this provide an opportunity to report on clinical experiences of pregnancy with cardiac disease, their management and obstetrical outcomes.Methods: This was a retrospective study, with all the patients detailed demographic information, diagnosis, course in the hospital, management, maternal and fetal outcome was obtained from the medical records and files.Results: Incidence of cardiac disease was found to be 0.7%, 47% of pregnant women fell in age group of 26-30 years, 38.2% were primigravida, only 23.53% were booked, and half of them belonged to NYHA II class. 73.5% had Rheumatic heart disease and the most common obstetrics complications were preterm labor and anemia. LSCS was done in 29.4% cases and 38.2% of the newborns were premature.Conclusions: Prematurity anaemia, IUGR, are the common obstetrical complication in pregnant patient with cardiac disease which can be taken care with increased awareness and pre-conceptional counselling especially in patient with congenital heart disease. For optimization of maternal and neonatal outcomes in these patients, dedicated team of obstetrician, fetal medicine specialist, pediatricians, cardiologist and anesthesiologist is the prime requirement.

scholarly journals Cardiovascular disease in pregnancy

2019 ◽  
Vol 8 (9) ◽  
pp. 3789
Author(s):  
Rupa Vyas ◽  
Priya Gupta ◽  
Sapana Shah ◽  
Komal Rangoliya
Keyword(s):  
Heart Disease ◽  
Cardiac Disease ◽  
Multidisciplinary Approach ◽  
Heart Diseases ◽  
Care Center ◽  
Nyha Class ◽  
Tertiary Care ◽  
Close Monitoring ◽  
Age Group ◽  
In Pregnancy

Background: Maternal cardiac disease is a major cause of non-obstetric maternal morbidity and mortality. The care of pregnant women with cardiac disease requires a multidisciplinary approach, involving obstetricians, cardiologists and anesthesiologist.Methods: A prospective analytical study of maternal heart disease and its fetomaternal outcome is carried out in the department of obstetrics and gynecology at tertiary hospital and teaching institute. The study was carried out on 50 cases belonging to age group 18-50 years with various cardiac diseases during their pregnancy and peripartum period.Results: In this study, 78% of the cases were registered with our hospital. The present study shows about 32% of the women having cardiac disease were in the age group of 20-25 years. 34% belonged to NYHA class II and had a relatively uneventful peripartum period. Among all forms of heart disease, RHD was common constituting 26% of cases. Most common condition associated with cardiac disease in pregnancy was preeclampsia (36%) in our study, with anemia being other one (10%). The common complications were congestive cardiac failure (12%) and pulmonary edema (8%). Combination of diuretics and beta blockers was used most commonly (22%). 56% of women delivered with caesarean section. 42 patients delivered after age of viability with 29 (69%) term deliveries and 13 (30%) preterm deliveries with 8 requiring NICU care.Conclusions: Valvular heart disease of rheumatic origin is the most common cardiac disease associated with pregnancy.The availability of adequate systems of early diagnosis of cardiac lesion, reference to tertiary care center & close monitoring of patient and delivery with multidisciplinary approach include specialized cardiologic care, high risk obstetric support and neonatology expertise that can minimize the serious consequences and helps to improve fetomaternal outcome. Pre-conceptional counseling and surgical correction of certain conditions improves maternal as well as fetal outcome. Awareness needs to be created about heart diseases during pregnancy and the importance of regular antenatal check-ups.

Hyperglycemia in pregnancy among South Asian women: A single tertiary care center experience from Colombo, Sri Lanka

2018 ◽  
Vol 145 ◽  
pp. 138-145
Author(s):  
Asanka Jayawardane ◽  
Malitha Patabendige ◽  
Dulani Samaranayake ◽  
Medini Boteju ◽  
Shamalka Dahanayake ◽  
...  
Keyword(s):  
Sri Lanka ◽  
South Asian ◽  
Care Center ◽  
Tertiary Care ◽  
Asian Women ◽  
Tertiary Care Center ◽  
South Asian Women ◽  
In Pregnancy

scholarly journals Fetomaternal outcome in pregnancy with HELLP syndrome

2020 ◽  
Vol 9 (7) ◽  
pp. 2860
Author(s):  
Prachi M. Shelat ◽  
Rupa C. Vyas ◽  
Sapana R. Shah ◽  
Naimish D. Nathwani
Keyword(s):  
Hellp Syndrome ◽  
Liver Enzymes ◽  
Care Center ◽  
Tertiary Care ◽  
Peripheral Blood Smear ◽  
Intrauterine Death ◽  
Tertiary Care Center ◽  
Maternal Complications ◽  
Elevated Liver Enzymes ◽  
Low Platelet Count

Background: HELLP Syndrome is a serious complication of pregnancy induced hypertensive disorders. It is defined as a triad of hemolysis, elevated liver enzymes, and low platelet count (HELLP). Objectives of this study was to find out incidence of HELLP syndrome in pre-eclampsia, eclampsia and its overall incidence. To analyse the clinical profile of HELLP syndrome. To study maternal and perinatal outcome including morbidity and mortality.Methods: A retrospective study was conducted from July 2017 to September 2019 at a tertiary care center with inclusion criteria of abnormal peripheral blood smear, elevated liver enzymes (LDH, aspartate aminotransferase), and low platelet count.Results: HELLP syndrome was more common in younger age group (45%) and in primigravida (52.5%). Most of the patients presented at >36 weeks of gestation (40%) and most of the patients delivered by caesarean section (67.5%). Maternal complications were acute renal failure (27.5%), DIC (22.5%), maternal mortality (7.5%). Neonatal complications associated were intrauterine death (27.5%), prematurity (25%) and intrauterine growth retardation (15%).Conclusions: Thus, HELLP syndrome requires an early diagnosis and early initiation of treatment at tertiary care center with all the medical facilities available.

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