Why the study?
Does mitral valve surgery before or during pregnancy improve maternal and fetal outcomes in women with valvular heart disease?
Population
308 women with valvular heart disease who delivered in a single hospital over an 8-year period
Comparison
Mitral valve surgery before pregnancy or balloon… vs No surgical intervention for valvular heart…
Design
Cohort
Follow-up
through delivery
Authors
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May reduce maternal arrhythmias without fetal benefit; hypothesis-generating and should not yet change practice.
Does mitral valve surgery before or during pregnancy improve maternal and fetal outcomes in women with valvular heart disease?
Mitral valve surgery before or during pregnancy in women with valvular heart disease decreases maternal adverse events such as arrhythmias but does not significantly improve fetal outcomes.
Malhotra et al. (2003) studied this question.
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