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 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 Feto–maternal outcome in pregnancy with Heart Disease: A tertiary care centre experience

2020 ◽  
Vol 9 (2) ◽  
pp. 59-62
Author(s):  
Anubhuti Mohan ◽  
Usha Mohan ◽  
Rahul Singla ◽  
Pratima Mittal ◽  
Divya Pandey ◽  
...  
Keyword(s):  
Heart Disease ◽  
Tertiary Care ◽  
Fetal Outcome ◽  
Maternal Outcome ◽  
Tertiary Care Centre ◽  
Her Family ◽  
Term Delivery ◽  
Acquired Heart Disease ◽  
Cardiac Lesions

Aim and Objectives: To know the prevalence and etiological types of heart disease in pregnant female and to describe the foetal and maternal outcome. Methodology: A retrospective hospital based study of all women with congenital or acquired heart disease admitted in Safdarjung hospital in 2016 was performed. The etiological type of heart disease and maternal and neonatal outcome were evaluated. Results: Median age of all the patients enrolled was 25yrs (19yrs–31yrs) which included mostly multigravida with POG from 28 to 41 weeks of gestation. Among all the patients 62% were unbooked. Rheumatic heart disease was most prevalent followed by congenital heart disease (13.6%) and Cardiomyopathy (13.7%). It was also found in the study that Instrumental Vaginal delivery was the preferred method. The fetal outcome was also evaluated and it was found that Pre term delivery, Low Birth weight and IUGR were main complications found in the mothers with heart disease which resulted in 27% NICU admissions and 5.1% neonatal mortality. Conclusion: Cardiac lesions and pregnancy both may affect each other adversely. Joint care of obstetrician, cardiologist and anesthetist, avoidance of complications that add to the burden on the heart and compliance of the patient and her family to regular follow up will go a long way in ensuing a safe outcome for mother and fetus.

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 A Study on Pattern of Heart Disease and Maternal and Fetal Outcome of Pregnancy in a Tertiary Level Hospital

2016 ◽  
Vol 11 (1) ◽  
pp. 36-41
Author(s):  
Nahreen Akhtar ◽  
Tajmira Sultana ◽  
Syeda Sayeeda ◽  
Tabassum Parveen ◽  
Firoza Begum
Keyword(s):  
Heart Disease ◽  
Mitral Stenosis ◽  
Fetal Outcome ◽  
Cross Sectional Study ◽  
Age Group ◽  
Cross Sectional ◽  
Maternal Fetal Medicine ◽  
Common Cause ◽  
Heart Disease In Pregnancy ◽  
Rheumatic Heart

Background: Cardiac disease is the most common cause of indirect maternal deaths and the most common cause of death overall. It complicates 1% of maternal death.Objective: Management of pregnancy in patients with valvular heart disease continues to pose a challenge to the clinician.the present study was therefore design to find the pattern of Heart Disease and to evaluate the maternal and fetal outcome of pregnancy. Method: This is a cross sectional study done during the period Jan to Dec, 2011in fetomaternal medicine wing of department of Obs & Gynae, BSMMU. All the patients admitted with heart disease in pregnancy during this study period were included in this study. This study prospectively enrolled 54 pregnant women with heart disease.All cases were followed during pregnancy , labour, delivery and in early puerperium.Results: The mean (SD±) age of the patients was 26.08 ± 3.96 ranging from 20 to 35yrs, most ( 26% ) belonged to age group 26 - 30yrs and five (9.26% ) belonged to >30years of age group. Most of the patients 21 (38.89%) were primigravid and 16(29.63%) patients were of second gravida. Out of 54 patients 41(75.93%) women received regular antenatal checkup.Thirty eight(70.37%) patients suffered from rheumatic heart disease. Twenty patients had single valvular involvement, either mitral, tricuspid or pulmonary valve with or without complication. Most of the patients had EF >50% and two patients had EF <49%. Two patients had mild mitral stenosis( >1.5cm2), 5 patients had moderate mitral stenosis (1-1.5cm2) and 6 patients had severe mitral stenosis (<1cm2).Conclusion: Patients with heart disease should be meticulously managed preconceptionally up to the postpartum period by maternal-fetal medicine specialists, obstetricians, cardiologists, and anesthesiologists using a multi-disciplinary approach to their cardiac conditions to have a better outcome of mother and baby.University Heart Journal Vol. 11, No. 1, January 2015; 36-41

Does Nubility Indicate More Than High Reproductive Value? Nubile Primiparas’ Pregnancy Outcomes in Evolutionary Perspective

2021 ◽  
Vol 19 (3) ◽  
pp. 147470492110395
Author(s):  
William D. Lassek ◽  
Steven J. C. Gaulin
Keyword(s):  
Lower Risk ◽  
Reproductive Value ◽  
Age Group ◽  
Evolutionary Perspective ◽  
Normal Birth Weight ◽  
Normal Birth ◽  
Life Threatening ◽  
Widespread Availability ◽  
Using Data ◽  
One Year

The idea that human males are most strongly attracted to traits that peak in women in the nubile age group raises the question of how well women in that age group contend with the potential hazards of a first pregnancy. Using data for 1.7 million first births from 1990 U.S. natality and mortality records, we compared outcomes for women with first births (primiparas) aged 16–20 years (when first births typically occur in forager and subsistence groups) with those aged 21–25 years. The younger primiparas had a much lower risk of potentially life-threatening complications of labor and delivery and, when evolutionarily novel risk factors were controlled, fetuses which were significantly more likely to survive despite lower birth weights. Thus, nubile primiparas were more likely to have a successful reproductive outcome defined in an evolutionarily relevant way (an infant of normal birth weight and gestation, surviving to one year, and delivered without a medically necessary cesarean delivery). This suggests that prior to the widespread availability of surgical deliveries, men who mated with women in the nubile age group would have reaped the benefit of having a reproductive partner more likely to have a successful first pregnancy.

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 Determinan Kematian Neonatal Dini di RSUD Dr. Achmad Mochtar Bukittinggi

2007 ◽  
Vol 2 (3) ◽  
pp. 99
Author(s):  
Efriza Efriza
Keyword(s):  
Health Care ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Apgar Score ◽  
Neonatal Death ◽  
Health Care Facilities ◽  
Care Process ◽  
Normal Birth Weight ◽  
Early Neonatal Death ◽  
Normal Birth

Berdasarkan data SDKI 2002-2003 angka kematian neonatal di Indonesia adalah 20 per 1000 kelahiran hidup. Sebagian besar kematian neonatal terjadi pada saat neonatal dini ketika bayi berumur 0-7 hari. Penelitian ini bertujuan untuk mengetahui berbagai faktor yang mempengaruhi kematian neonatal dinidi RSUD Dr. Achmad Mochtar Bukittinggi tahun 2001-2005. Penelitian yang dilakukan pada sumber data sekunder rekam medik ibu dan bayi ini menggunakan disain studi kasus kontrol. Sampel dihitung dengan rumus ukursan sampel minimal kasus kontrol. Kasus. adalah bayi yang lahir hidup dan meninggal pada periode neonatal dini (0-7 hari) dan kontrol adalah bayi yang lahir hidup dan bertahan hidup pada periode neonatal dini. Jumlah kasus (93i) dan kontrol (392) ditentukan dengan rasio 1:4 untuk meningkatkan power penelitian Metoda analisis yang digunakan adalah analisis regresi logistik. Hasil penelitian menunjukkan kejadian kematian neonatal dini dipengaruhi oleh umur kehamilan, nilai apgar 1 menit setelah lahir, nilai apgar 5 menit setelah lahir dan berat lahir setelah dikontrol oleh variabel komplikasi kehamilan atau persalinan, rujukan, kelas perawatan, jenis persalinan, pendidikan ibu dan paritas. Bayi berat lahir sangat rendah (<1500 gram) berisiko untuk mati pada periode neonatal dini 59 kali lebih besar daripada bayi berat lahir normal. Sedangkan bayi beratlahir rendah (<2500 gram) berisiko mati pada periode neonatal dini 6 kali lebih besar daripada bayi berat lahir normal (³ 2500 gram). Antisipasi kematian neonatal dini perlu penanganan sejak kehamilan (ANC) sampai persalinan. Kerjasama pusat pelayanan dasar dengan pusat pelayanan ditingkat atas,persalinan di rumah sakit didampingi oleh dokter anak, pengkajian alat, tenaga, standar pelayanan dan mengoperasikan NICU (Neonatal Intensif Care Unit).Kata kunci : Kematian neonatal dini, faktor risikoAbstractThe Indonesia Demographic and Health Survey (SDKI) 2002-2003 reported neonatal death rate in Indonesia of 20 per 1000 live birth. Most of the neonatal death occurred early, that is in the age of infant of 0-7 days. This study aimed at knowing factors influencing early nenonatal detah in Dr Achmad MochtarHospital Bukittinggi in the year 2001-2005. The study used medical records of mother and infant as secondary data source and was designed as a casecontrol study. Cases were infants born alive and died during the early neonatal period (0-7 days), and controls were infants born and stay alive during thatperiod. Number of cases was 93 and control was 392 subjects was calculated on 1:4 ratio to increase the study power. Analysis method used was logistic regression analysis. The results show that early neonatal death was influenced by gestational age, Apgar score 1 minute after birth, Apgar score 5 minuteafter birth and birth weight after controlled by pregnancy or delivery complication, referral, health care class, type of delivery, mother’s education, and parity variables. Infants with very low birth weight (<1500 grams) have 59 times greater risk of early neonatal death compared to those of normal birth weight. While those with low birth weight (<2500 grams) have 6 times greater risk compared to normal birth weight infants. To anticipate the occurrence of early neonatal death there is a need to intervene since pregnancy (through ANC) until delivery. There is also a need to foster the collaboration between different levels of health care facilities, delivery assistance by specialist in the hospital level, and to standardize health care process including Neonatal Intensive Care Unit (NICU) implementation.Keywords : Early neonatal death, risk factors

scholarly journals Evaluation of maternal and fetal outcome in corona positive pregnant women

2020 ◽  
Vol 9 (12) ◽  
pp. 5037
Author(s):  
Bharti Maheshwari ◽  
Preeti Sharma ◽  
Kamini Pawar ◽  
Kirti Goswami
Keyword(s):  
Pregnant Women ◽  
Viral Infections ◽  
Mode Of Delivery ◽  
Fetal Distress ◽  
Fetal Outcome ◽  
Normal Delivery ◽  
Medical College ◽  
Cell Immunity ◽  
Term Delivery ◽  
Fetal Complications

Background: COVID-19 has spread globally at an accelerated rate with rapid increases in cases and mortality. Viral pneumonia is one of the leading causes of pregnancy deaths worldwide. Physiological changes during pregnancy, such as reduced functional residual volumes, diaphragm elevation, and oedema of respiratory tract mucosa, as well as changes in cell immunity can lead to increased susceptibility to viral infections and can have worsened outcomes.Methods: The study was conducted after clearance from Board of Studies and Ethical committee in the Department of obstetrics and gynaecology, Muzaffarnagar medical college, Muzaffarnagar. It was a retrospective study. Out of total 1500 covid positive patients admitted in 3 months, 33 pregnant women were included which were covid positive.Results: The study population consisted of 16 (48.5%) women from 20-25 years, 12 (36.4%) women from 26-30 years and 5 (15.2%) women from above 30 years. There was history of exposure among all (100.0%) pregnant women with only 2 (6.1%) having symptoms of COVID-19.Out of 33, 8 patients were severelyanemic, 4 had preeclampsia, 2 cases had previous 2 LSCS, 5 previous 1 LSCS, 1 leaking pervaginum, 3 cases had fetal distress at admission. As per gestational age, 9 (27.3%) women had pre-term delivery, 21 (63.6%) had normal term delivery and 3 (9.1%) had post-term delivery. 13 women were primigravida and 20 were multigravida. The mode of delivery was LSCS among 24 (73%) and normal delivery among 1 (3.0%) women.Conclusions: In our study, there were no maternal and fetal complications among pregnant women with COVID-19.

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 Abruptio placenta: a retrospective study on maternal and perinatal outcome

2017 ◽  
Vol 6 (10) ◽  
pp. 4389
Author(s):  
Subha Sivagami Sengodan ◽  
Mohana Dhanapal
Keyword(s):  
Retrospective Study ◽  
Fetal Outcome ◽  
Age Group ◽  
Third Trimester ◽  
College Hospital ◽  
Maternal Deaths ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Maternal Mortality And Morbidity ◽  
Abruptio Placenta

Background: Abruptio placenta is separation of a normally situated placenta after 20 weeks of gestation and prior to the birth of the fetus. It is an important cause of antepartum haemorrhage and presents as an acute abdomen in the third trimester of pregnancy. Obstetrical haemorrhage is one of the triad (Haemorrhage hypertension and infection) of causes of maternal deaths in both developed and underdeveloped countries.Methods: This is a retrospective study of Abruptio Placenta cases carried out between January 2015 and December 2015 at Government Mohan Kumaramangalam Medical College Hospital, Salem and about its perinatal and maternal outcome.Results: Incidence of Abruptio placenta is 0.5%. It is most common in the women of age group 26-30yrs. 67% of cases were associated with severe pre-eclampsia. Live births were 69.8% while stillbirths were 30.2%. PPH occurred in 19.6% of cases. DIC accounts for 16.7% of the complication.Conclusions: Abruptio placenta is associated with poor maternal and fetal outcome. Hence early diagnosis and prompt resuscitative measures would prevent both perinatal and maternal mortality and morbidity.

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