Key result
Careful multidisciplinary management of anticoagulation in a pregnant woman with a mechanical mitral valve presenting late resulted in an uneventful vaginal delivery and a healthy baby.
Case Report (n=1)
No
Successful vaginal delivery and healthy fetal outcomes can be achieved in pregnant women with mechanical mitral valves presenting late in gestation through careful, multidisciplinary peripartum anticoagulation management.
Supports feasibility of vaginal delivery via multidisciplinary anticoagulation in late-presenting mechanical valve pregnancies; leaves open need for systematic evidence.
With the increased awareness and emphasis of institutional delivery, there has been an increase in trend of cases of valvular heart disease with pregnancy being reported to tertiary centers. Though rare, cases like post mitral valve replacement (MVR) with pregnancy are often a challenge in terms of management with an outcome of uneventful pregnancy and healthy baby. The management of women with prosthetic heart valves during pregnancy poses a particular challenge as there are no available controlled clinical trials to provide guidelines for effective antithrombotic therapy. Here we present a case of post MVR with pregnancy with an ultimate outcome of a healthy female and uneventful vaginal delivery. Nepal Journal of Obstetrics and Gynaecology / Vol 8 / No. 1 / Issue 15 / Jan- June, 2013 / 50-52 DOI: http://dx.doi.org/10.3126/njog.v8i1.8866
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Lamichhane et al. (2013) conducted a case report in Pregnancy with post mitral valve replacement (n=1). Anticoagulation management (warfarin to LMWH to UFH) was evaluated on Maternal and fetal outcome. Careful multidisciplinary management of anticoagulation in a pregnant woman with a mechanical mitral valve presenting late resulted in an uneventful vaginal delivery and a healthy baby.
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