Why the study?
What are the obstetrical and cardiac outcomes of pregnancy in women with mitral valve prolapse?
What are the obstetrical and cardiac outcomes of pregnancy in women with mitral valve prolapse?
Pregnancy in women with mitral valve prolapse appears to be safe, with no maternal mortality or cardiac complications observed in this cohort.
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Supports safety of pregnancy in mitral valve prolapse; hypothesis-generating and requires larger prospective confirmation.
The obstetrical performances and outcomes of 37 pregnancies in women with mitral valve prolapse between 1979 and 1982 are reviewed. Thirteen patients were diagnosed before pregnancy and 24 patients were detected at antenatal examinations. Three ended in cesarean sections for obstetrical complications and 34 in uneventful vaginal deliveries at term. No cardiac complications occurred in these patients. There was no maternal mortality. Thirty-six babies were born without congenital abnormalities. One baby was hydropic due to haemoglobinopathy and died. Prophylactic antibiotics is recommended in selected cases. Early detection and treatment of cardiac arrhythmias is mandatory.
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Tang et al. (1985) studied this question.
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