scholarly journals Maternal and perinatal outcomes of pregnancies complicated by cardiac disease at a tertiary level hospital

2021 ◽  
Vol 8 (4) ◽  
pp. 492-497
Author(s):  
Niharika Chaudhary ◽  
Naga Veni Prapurna Pulakhandam ◽  
Y Annapoorna
Keyword(s):  
Heart Disease ◽  
Nyha Class ◽  
Perinatal Outcomes ◽  
Cardiovascular Complications ◽  
Fetal Outcome ◽  
Medical College ◽  
Obstetric Management ◽  
Pulmonary Arterial ◽  
Heart Disease In Pregnancy ◽  
Postpartum Cardiomyopathy

Heart disease in pregnancy is one of the leading non-obstetric causes of maternal mortality and is the leading cause of maternal intensive care unit admissions in the world. To study the prevalence of heart disease in antenatal mothers and fetal outcome with obstetric management. The presence of comorbidities and the occurrence of obstetric, fetal, and cardiovascular complications during delivery among women with heart disease hospitalized for delivery were studied in 35 women at GSL Medical College, Rajahmundry for a period of 1 year from 01/01/2019 to 1/1/2020: Over a period of 12 months, 35 subjects were recruited. During this period, there were 5005 deliveries. The majority of women were aged between 20-25yrs and were unbooked cases belonging to NYHA class I or II. Cesarean section and operative vaginal delivery were more common. Despite the multidisciplinary approach, 3 women succumbed to the disease of which one was a case of severe rheumatic heart disease with valve failure, the second was a case of postpartum cardiomyopathy and the third was a case of severe pulmonary arterial hypertension. Fetal outcome in cardiac patients is usually good and only a little different from those patients who do not suffer from heart disease. Pregnant women with heart disease were more likely to experience adverse events during delivery. These women require a multidisciplinary team for optimal maternal and foetal outcomes.

scholarly journals Study of Maternal and Fetal Outcome in Pregnancy with Heart Disease

2017 ◽  
Vol 8 (2) ◽  
pp. 112-116 ◽  
Author(s):  
Sharmin Abbasi ◽  
Sehereen Farhad Siddiqua ◽  
Shifin Rijvi ◽  
Salma Akhtar ◽  
Benozir Haque ◽  
...  
Keyword(s):  
Heart Disease ◽  
Cardiac Disease ◽  
Nyha Class ◽  
Mode Of Delivery ◽  
Fetal Outcome ◽  
Functional Class ◽  
Maternal Complications ◽  
College Hospital ◽  
Medical College ◽  
In Pregnancy

Background: Heart disease complicating pregnancy is an important indirect cause of maternal mortality and morbidity. Maternal heart disease comprises .2%-2% of pregnancies and responsible for 10%-20% of maternal deaths1. Our study was done to evaluate fetomaternal outcomes in pregnancy with heart disease.Objectives: Evaluation of fetomaternal outcome in pregnant patients with cardiac disease. Materials andMethods: This observational study was done in Bangabandhu Sheikh Mujib Medical University and Anwer Khan Modern Medical College Hospital among 51 pregnant women with known or newly diagnosed heart disease from January 2013-january 2015. Baseline data recorded demographic character, NYHA functional class, maternal complications, mode of delivery and neonatal outcome.Results: Among 51 cardiac patients, 32 (63%) were primigravida. Mostly 46 (90.6%) belonging to NYHA Class I and II. Rheumatic heart disease seen in 45 (87%) and congenital heart disease in 10% subjects. Mitral stenosis was the most common, seen in 22 (41%) cases. 47.33% patients were delivered vaginally and LSCS done in 41% patients. The fetal outcome were live births in (96.6%) cases, (27.4%) babies required NICU admission.Conclusion: An improvement in modern techniques of monitoring, better understanding of pathophysiology of cardiac disease and multi disciplinary care can lead to substantial improvement in the feto maternal outcome.Anwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 112-116

scholarly journals Pregnancy complicated by cardiac disease: fetomaternal outcome

2018 ◽  
Vol 7 (7) ◽  
pp. 2686
Author(s):  
Ankita Singh ◽  
Sudha Prasad
Keyword(s):  
Heart Disease ◽  
Cardiac Disease ◽  
Fetal Outcome ◽  
Team Approach ◽  
New Delhi ◽  
Medical College ◽  
Gestation Age ◽  
Maternal Morbidity And Mortality ◽  
Heart Disease In Pregnancy ◽  
First Time

Background: Heart disease complicating pregnancy is an important indirect cause of maternal morbidity and mortality. The study aimed to know the prevalence of heart disease in pregnancy, type of lesions, maternal outcome (obstetric and cardiac) and fetal outcome.Methods: A retrospective study of 508 women with pregnancy complicated by cardiac disease who delivered at gestation age >28 weeks was carried out at Lok Nayak Hospital associated with Maulana Azad Medical College, New Delhi over a period of 2 years.Results: Among 508 patients, only 330 were booked cases and 92 were unbooked. 24 patients came to emergency first time with congestive heart failure. Rheumatic heart disease was the predominant lesion seen in 77.5% cases. Cardiac disease was diagnosed during index pregnancy in 43.5% cases. 12 cases underwent surgical intervention during pregnancy as they were refractory to medical management. Cesarean section was performed in 109 (21.4%) cases mainly for obstetric indication. Overall cardiac complication rate was 38.38%. Maternal mortality was seen in 6 cases. Small for gestation age was seen in 26.4% cases and preterm labor in 19.9 % cases.Conclusions: Patients in NYHA I /II have better fetomaternal outcome than in NYHA III/IV. Vaginal delivery is a safe option and caesarean section should be reserved mainly for obstetric indication. Multidisciplinary team approach can significantly improve maternal and fetal outcome.

scholarly journals PREGNANCY;

2012 ◽  
Vol 19 (02) ◽  
pp. 145-149
Author(s):  
TASNIM TAHIRA ◽  
SUMERA TAHIR
Keyword(s):  
Heart Disease ◽  
Fetal Outcome ◽  
Age Group ◽  
Normal Birth Weight ◽  
Early Neonatal Death ◽  
Normal Birth ◽  
Medical College ◽  
Term Delivery ◽  
Acquired Heart Disease ◽  
Heart Disease In Pregnancy

Objective: To determine pregnancy outcome in patients presenting with heart disease during pregnancy and labour. Design:Descriptive study. Place & Duration of study: This study was conducted in Gynae Unit-I, Allied Hospital affiliated with Punjab Medical College,Faisalabad, during a period of 2 years from January 2009 to December 2010. Materials & Methods: This study included 74 patients whopresented with congenital or acquired heart disease during pregnancy or labour. Patients were evaluated for their cardiovascular status bycardiologist. Relevant investigations done to assess maternal and fetal condition. Results: 50 patients (67.6%) were in age group 20-25 years.Congenital heart disease was present in 8 (1.8%) patients while acquired heart disease was present in 66 patients (98.2%). 52 patients (70.3%)achieved term delivery, while 8 patients (10.8%) had spontaneous miscarriage and 14 patients (18.9%) had preterm delivery. 50 patients (76%)had live birth with normal birth weight, 12 patients (18%) had fetuses which were small for gestational age (SGA), 2 patients (3%) had stillbirthand 2 patients (3%) had early neonatal death due to prematurity. Conclusions: Heart disease in pregnancy is a high risk condition.Multidisciplinary approach should be adopted in the management of cardiac patient to achieve good obstetric and fetal outcome.

scholarly journals Lactic dehydrogenase as a biochemical marker of adverse pregnancy outcome in severe pre-eclampsia, Gujarat

2017 ◽  
Vol 6 (8) ◽  
pp. 3418
Author(s):  
Rohit Jain ◽  
Chintan Upadhyay ◽  
Latika Mehta ◽  
Bipin Nayak ◽  
Gaurav Desai
Keyword(s):  
Adverse Pregnancy Outcome ◽  
Perinatal Outcomes ◽  
Lactic Dehydrogenase ◽  
Fetal Outcome ◽  
Third Trimester ◽  
Medical College ◽  
Severity Of Disease ◽  
Still Births ◽  
Adverse Pregnancy ◽  
A Prospective Study

Background: Serum LDH levels can be used to assess the extent of cellular death and thereby the severity of disease in this group of women. This will help in making decision, about the management guidelines to the better the maternal and fetal outcome. Objective of present study was compare serum LDH levels in the normal pregnant women and in women with preeclampsia and eclampsia in ante-partum period and to study the association of maternal and perinatal outcomes with serum LDH levels.Methods: It is a prospective study done at Obstetrics and Gynecology department, GMERS medical college and civil hospital, Gandhinagar during August-September 2016. Participants were divided into four groups according to severity of disease and into three groups according to serum LDH level.Results: Mean level of LDH (IU/l) in Control, Mild pre-eclampsia, Severe pre-eclampsia & Eclampsia was 302.33, 398.56, 675.26 & 1589.85 respectively. Out of total 34 cases with LDH level >800 IU/L, 47.1% cases had ≥160 mm hg SBP & 52.9% had ≥110 mm hg DBP, mean gestational age and mean baby weight was 36.88 week and 1950 gm, mean apgar score at 10 min was 6.96, 47.1% had uneventful outcome, whereas 58.8% had neonatal complications and 5.9% had neonatal death. Almost 26.5% still births, 47.1% perinatal deaths.Conclusions: Higher serum LDH levels during pregnancy have significant association with severity of disease and maternal and fetal outcomes in patients of preeclampsia and eclampsia and can be considered as a supportive prognostic tool from early third trimester.

scholarly journals Maternal and perinatal outcomes of pregnancies complicated by cardiac disease at tertiary level hospital of Uttarakhand

2017 ◽  
Vol 6 (8) ◽  
pp. 3338
Author(s):  
Priyanka Chaudhari ◽  
Vineeta Gupta ◽  
Nidhi Kumari ◽  
Archna Tandon ◽  
Nimisha Gupta
Keyword(s):  
Heart Disease ◽  
Cardiac Disease ◽  
Heart Diseases ◽  
Nyha Class ◽  
Mode Of Delivery ◽  
Perinatal Outcomes ◽  
Cardiac Diseases ◽  
Class Iii ◽  
Maternal Deaths ◽  
Common Cause

Background: Cardiac disease is the most common cause of indirect maternal deaths and most common cause of death overall. It complicates 1% of all maternal deaths. The maternal and neonatal risks associated with pregnancy in women with cardiac disease receiving comprehensive prenatal care have not been well defined. Objective of present study was to evaluate the burden of cardiac diseases in pregnancy in our hospital, their clinical presentation, type of cardiac lesion, associated complications, maternal and fetal outcome.Methods: A retrospective study was conducted in Obstetrics and gynecology department at Shri Guru Ram Rai Institute of medical and health sciences, Dehradun from January- 2013 to December-2015. All patients with cardiac diseases during pregnancy or developed during postpartum period were included in the study. Detailed Demographic profile of patients, mode of delivery, perinatal outcome, associated antenatal, intranatal and postnatal complications were analyzed in detail.Results: There were 37 patients with cardiac disease during pregnancy in our study period. Out of these 32.4% were diagnosed during current pregnancy. Rheumatic heart diseases were seen in 54.05% patients and congenital heart disease seen in 35.1%. out of these 81.1% patients belonged to NYHA class I and II and 18.9% patients in class III & IV. Majority of patients (78.3%) had vaginal delivery. We observed 5.4% maternal mortality and 2.7% of neonatal mortality rate.Conclusions: Pregnancy in women with heart disease is associated with significant cardiac and neonatal complications. Multidisciplinary approach involving cardiologist, obstetrician and neonatologist improves fetomaternal outcome.

scholarly journals Maternal and fetal outcome of heart disease in pregnancy: an audit in a tertiary hospital in India

2019 ◽  
Vol 8 (8) ◽  
pp. 2983
Author(s):  
Lalita Kambhampati ◽  
Kimaya A. Mali ◽  
Meena N. Satia
Keyword(s):  
Heart Disease ◽  
Preterm Births ◽  
Tertiary Hospital ◽  
Fetal Outcome ◽  
High Morbidity ◽  
Cardiac Events ◽  
Still Births ◽  
Heart Disease In Pregnancy ◽  
Acyanotic Congenital Heart Disease ◽  
In Pregnancy

Background: There has been a rising incidence of pregnancy complicated by heart disease in India. The importance of heart disease in pregnancy lies in its high morbidity and mortality in both maternal and fetal outcomes combined with lack of enough established guidelines in its management.Methods: A study was done in department of obstetrics and gynaecology, KEM hospital, Mumbai from January 2016 to April 2017 retro prospectively studying the different manifestations of heart disease in pregnancy and the maternal and fetal outcomes.Results: During the study period, there were 6500 deliveries in the study center and of them 135 presented with heart disease. Of the 135 cases observed, 100 cases came under the inclusion criteria and were included in the study. The incidence of heart disease in pregnancy in the current institute is 2%. In the 100 cases, 55% were seen to have Rheumatic heart disease, 32% with cyanotic and acyanotic congenital heart disease and 13% with other conditions such as peripartum cardiomyopathy and mitral valve prolapse. Maternal outcome shows 44 patients delivered vaginally, 21 by assisted vaginal delivery and 35 required caesarean section. Maternal adverse cardiac events comprised of heart failure seen in 11 cases, ICU admissions required in 14 patients and maternal mortality in one case. Neonatal outcome comprised of 31 preterm births, still births 2, low birth weight seen in 41 and 16 needing NICU admissions.Conclusions: Early diagnosis and prompt management with a multidisciplinary approach is fundamental in managing a case of heart disease in pregnancy.

scholarly journals Perinatal Outcomes of Hypertensive Pregnancy: A Case Control Study

2019 ◽  
Vol 17 (2) ◽  
pp. 39-42
Author(s):  
Niraj Acharya ◽  
Diwas Dhungana ◽  
Veena Gupta
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Perinatal Outcomes ◽  
College Teaching ◽  
Fetal Outcome ◽  
Control Group ◽  
P Value ◽  
Case Group ◽  
Low Birth Weight Infants ◽  
Medical College

Background: Hypertensive disorders of pregnancy (HDP) are one of the maternal diseases that cause the most detrimental effects to the mother and the fetus. Objective: This study was conducted to compare the perinatal outcomes of neonates delivered by hypertensive mothers and normal mothers. Methods: This comparative hospital based study was conducted in Nepalgunj Medical College Teaching Hospital, Kohalpur from December 2014 to December 2015. Fifty mothers fulfilling the inclusion criteria and their fetal outcome in form of still birth and newborn babies were taken for the study and 50 healthy mothers with normotensive pregnancies and their newborn babies or fetal outcome were taken as control. They were followed up till their hospital stay in NICU or postnatal ward and final outcomes were noted. Results: The prevalence of HDP in our hospital was 2.16%. Among neonates, 27(54%) in case group and 9(18%) in control group were low birth weight which is statistically significant. It was found that 18(36%) neonates in case group and 7(14%) neonates in control group were IUGR(Intrauterine growth retardation). Seventeen (34%) neonates in case group were preterm as compared to 2(4%) neonates in control group (p value < 0.001). Conclusion: Pregnancies complicated by hypertension were characterized by an increase in the rate of preterm delivery and low birth weight infants compared with normal pregnancies.

scholarly journals Maternal and fetal outcome in oligohydramnios: study from a tertiary care hospital, Ahmedabad, India

2018 ◽  
Vol 7 (3) ◽  
pp. 907
Author(s):  
Runoo Ghosh ◽  
Heena Oza ◽  
Bhakti Padhiyar
Keyword(s):  
Gestational Age ◽  
Tertiary Care ◽  
Perinatal Outcomes ◽  
Fetal Outcome ◽  
Care Hospital ◽  
Vaginal Route ◽  
Still Birth ◽  
Medical College ◽  
Gestation Age ◽  
Post Natal Care

Background: Most severe and frequent complication of pregnancy is Oligohydramnios and the incidence of this is observed to be about 1-5 % of total pregnancies. Objective of present study was to find the maternal and perinatal outcome, etiology associated with oligohydramnios at tertiary care hospital.Methods: This prospective study was done among 55 patients with gestational age from 30-40wks with Oligohydramnios AFI<5cms with intact membranes were analysed for perinatal outcomes admitted at department of obstetrics and Gynecology in B.J. Medical college, Ahmedabad during July 2008 to July 2010.Results: 65.5% participants were belonged to 20 to 25 age group and 35.5% participants were Primigravida. Mean age was 23.9±3.3 years and mean gestation age was 36.9 week. Almost 72.2% were in 34 to 37 weeks of gestational age. Study found FMC <10 in 56.4% of participants. Forty percent participants have AFI 4 and 27.3% have AFI 5.  47.3% delivery was done by vaginal route. 5.5% baby was still birth and prematurity were the most common cause of still birth. Around 71% babies were low birth weight and congenital anomalies were present in 7.3% babies. APGAR score measured <7 at 1 minute was in 65.4% and <7 at 5 minutes was in 43.6% babies.Conclusions: Oligohydramnios in obstetrics is a frequent occurrence and it points towards intensive surveillance and proper ante-natal and post-natal care. Due to high perinatal morbidity and mortality, the incidence of LSCS increases. However, vaginal delivery has similar outcome, but strict vigilance in labor is mandatory.

scholarly journals FETOMATERNAL OUTCOME IN PREGNANCY WITH CARDIAC DISEASE

2021 ◽  
Vol 5 (7) ◽  
Author(s):  
Kalyani K Bafna ◽  
Kanaklata Nakum ◽  
Aditi Vithal
Keyword(s):  
Heart Disease ◽  
Pregnant Women ◽  
Cardiac Disease ◽  
Maternal Morbidity ◽  
Nyha Class ◽  
Mode Of Delivery ◽  
Fetal Outcome ◽  
Morbidity And Mortality ◽  
Maternal Complications ◽  
Maternal Morbidity And Mortality

Objective(S): Cardiac disease is an important cause of maternal morbidity and mortality in both antepartum as well as in postpartum period. Incidence of heart disease with pregnancy is <1%. Aim of this study is to determine maternal complications with heart disease, mode of delivery & fetal complications. Materials & Methodology: This is a retrospective study conducted at Gopinath Maternity Home, Sir-T Hospital, Bhavnagar. From May 2020- April 2021. All pregnant women with various cardiac disease (previously established or diagnosed during pregnancy) who came to labor room or OPD are included. Result: 30 pregnant women out of 2683 deliveries were identified with cardiac disease giving prevalence of 1.12% in this study. 15(50%) women belonging to NYHA class-1 & 8(26.6%) belonged to NYHA class 2. Class 3(3 patients =10%) & class 4(4patients= 13.3%) were admitted immediately. 18(60%) women were case of valvular heart disease, out of which 12(66.6%) cases were of RHD, 2(11.1%) were MS, 3(16.6%) AS, 1(5.5%) MR. 10(33.33%) cases were congenital heart disease. Maternal mortality were 4(13.33%). Out of 30 cases, 18(69.2%) women had LSCS, 6(23.07%) had vaginal delivery,2(7.7%) had vaccum & 3(10.3%) had abortion. Out of 26 deliveries 2(7.7%) were IUFD, 6(23.07%) Preterm, 7(26.9%) IUGR. Total there were 9(37.5%) NICU admissions. Conclusion: Prognosis of pregnancy with heart disease has improved but management of it is still a challenge for obstetricians. Pre-conceptional counseling plays an important role by benefiting women with severe heart disease and thus help in reducing maternal morbidity and mortality. Keywords:  cardiac disease, maternal outcome, fetal outcome

scholarly journals STUDY OF MATERNAL AND FETAL OUTCOME OF GRAND MULTIPARA.

2020 ◽  
Vol 4 (9) ◽  
Author(s):  
Payal Anandbhai Hadiya ◽  
Dipti. C. Parmar
Keyword(s):  
Perinatal Outcomes ◽  
Fetal Outcome ◽  
Caesarian Section ◽  
Government Medical College ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Grand Multiparity ◽  
Fetal Complications ◽  
The Common ◽  
In Pregnancy

Background: Pregnancies in grand multipara have been considered risky for many decades as there are higher chances of complications during pregnancy, labour and puerperium in these women. This study aims to find out various maternal and fetal complications associated with grand multiparty during pregnancy and labour. Methods: A descriptive observational study was conducted in the department of obstetrics and gynaecology of Sir T General hospital and Government medical college and hospital, Bhavnagar, Gujarat, from May 2019 till April 2020. It includes 185 cases of grand multipara women. All the women who delivered had four or more previous viable pregnancies were included in the study. Results: In the total 185 cases that were included in the study, the common medical illnesses found in grand multipara were anemia (25.40%), preeclampsia/ eclampsia (4.86%) and gestational diabetics mellitus (1.86%). Other complications observed were   malpresentations (2.70). Caesarian section was required in 16.21% of the cases. In perinatal outcomes, 9.72% births were still birth. 34.59% babies were of low birth weight. Conclusion: Grand multiparity remains a risk in pregnancy and is associated with an increased prevalence of maternal and neonatal complications but it might be unjustifiable to attribute all risk to parity alone, risk assessment should be based on age, past obstetric and medical history. Keywords: Grand Multipara, Maternal outcome, fetal outcome

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