Key result
Women with congenital heart disease had 0% maternal and perinatal mortality, despite higher rates of pregnancy-induced hypertension and cesarean sections compared to the general obstetric population.
Why the study?
Does congenital heart disease affect obstetric and neonatal outcomes in pregnant women compared to the general obstetric population?
Cohort (n=85)
No
Does congenital heart disease affect obstetric and neonatal outcomes in pregnant women compared to the general obstetric population?
Women with congenital heart disease can achieve excellent maternal and fetal outcomes when managed at a tertiary center, despite higher rates of obstetric interventions and lower birth weights compared to the general population.
Answers are grounded in this paper and cite their sources.
Supports favorable outcomes with tertiary management in pregnant women with congenital heart disease; leaves open generalizability beyond specialized centers.
OBJECTIVE: To study the obstetrics and neonatal outcome of women with congenital heart disease. METHOD: This is a retrospective study of 85 women with congenital cardiac disease. Data collected include maternal characteristics, New York Heart Association Class, cardiac complications and obstetric and neonatal outcome. RESULTS: The maternal and neonatal outcomes were excellent with no maternal and perinatal mortality. The main cardiac lesions were mitral valve prolapse (60.8%), atrial septal defect (8.6%), ventricle septal defect (6.5%) and aortic regurgitation (4.3%) and 2.1% each of tricuspid regurgitation, pulmonary regurgitation, Ebstein's anomaly, coarctation of aorta, patent ductus arteriosus, and Eisenmenger's syndrome. Six deliveries were associated with New York Heart Association deterioration. Compared to the general obstetric population, more women in the study group were primigravida, had pregnancy induced hypertension, underwent instrumental vaginal deliveries and caesarean sections and had more babies with lower birth weights. CONCLUSION: Despite potential difficulties and complications associated with congenital heart disease, careful cardiac and obstetric management in a tertiary referal centre resulted in good maternal and fetal outcomes.
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Chia et al. (1996) conducted a cohort in Congenital heart disease (n=85). Pregnancy with congenital heart disease vs. General obstetric population was evaluated on Maternal and perinatal mortality. Women with congenital heart disease had 0% maternal and perinatal mortality, despite higher rates of pregnancy-induced hypertension and cesarean sections compared to the general obstetric population.
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