Pregnant women with congenital heart disease, even when predominantly in NYHA class I-II, face significant risks of obstetric hypertensive disorders and fetal complications such as intrauterine growth restriction.
Supports heightened surveillance for hypertensive disorders and IUGR in pregnant CHD patients; leaves open optimal strategies pending prospective trials.
Objectives: To study the maternal and fetal risks of pregnant women with congenital heart disease in our area at Prince Rashid Bin-Al-Hassan Hospital, Irbid-Jordan. Methods: This is a prospective study of pregnancy outcome in 106 women with congenital heart disease delivered during a period of three years between August 2007 and July 2010 at Prince Rashid Bin-Al-Hassan Hospital, Irbid-Jordan. Maternal and perinatal outcome and complications were evaluated for each patient. Results: Overall prevalence of pregnancy among women with congenital heart disease was 0.6%. Atrial septal defect was the commonest cardiac lesion diagnosed in our study 36.2%, with ventricular septal defect present in 28.6%. The majority of our patients were in New York Heart Association class-I and II- 95.3%. The most prevalent obstetric complications were hypertensive disorders (28.7%). Most women had spontaneous vaginal deliveries, although 25.7% women underwent caesarean sections. The most prevalent neonatal complications were premature birth (9.9%), intrauterine growth restriction (37.6%), and perinatal mortality (2.97%).
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Miqdadi et al. (2013) studied this question.
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