Key result
Rheumatic heart disease accounts for ~74% of cardiac cases among pregnant women.
Observational (n=35)
No
Rheumatic heart disease remains the most common cardiac condition in this cohort of pregnant women, with high rates of caesarean delivery and low maternal mortality.
Rheumatic heart disease remains common in pregnant cardiac patients; extends regional epidemiology but leaves open optimal management strategies.
The aim of the study is to evaluate the types of heart disease common in our pregnant woman and to assess its influence on the maternal outcome. This was a prospective observational study. The study was carried out in the department of obstetrics & Gynecology in BSMMU from Jan 2006 to Dec 2006. Thirty-five consecutive cases with heart diseases were included in the study. Out of 35 Cases, 26(74.3%) were suffering from rheumatic heart diseases and only 9 (25.7%) patients were suffering from congenital heart disease. Based on New York heart Association (NYHA) functional classification, 28(80%) belonged to NYHA class I, 5 (71.212%) belonged to NYHA class II and 2(28.57%) belonged to class III heart disease on presentation. The number of caeserian section was 33(94.28%) and normal vaginal delivery (5.71%). In this study only 1 woman of NYHA III disease expired. DOI: http://dx.doi.org/10.3329/uhj.v7i1.10201 UHJ 2011; 7(1): 7-9
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Wahid et al. (2012) conducted an observational in Heart disease in pregnancy (n=35). Rheumatic and congenital heart disease was evaluated on Types of heart disease and maternal outcome. Among 35 pregnant women with heart disease, 74.3% had rheumatic heart disease and 25.7% had congenital heart disease, with 80% presenting in NYHA class I and one maternal death occurring.
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