Key result
Maternal heart disease is linked to ~6% maternal mortality and frequent low birth weight.
Why the study?
Heart disease complicates pregnancy and contributes significantly to maternal mortality and morbidity, particularly in low-resource settings like India where it is associated with adverse fetomaternal outcomes.
Observational (n=36)
No
In a cohort of pregnant women with heart disease in India, there was a high rate of adverse fetomaternal outcomes, including a 5.56% maternal mortality rate and 36.11% rate of underweight babies.
Supports multidisciplinary surveillance in cardiac pregnancies; leaves open optimal interventions in low-resource settings.
BACKGROUND: Heart disease in pregnancy is still a major problem worldwide, particularly in low resource country like India. Its reported incidence varies between 0.1 to 4%. Heart disease complicates 1% to 3% of all pregnancies and is responsible for 10% to 15% of maternal mortality. In India, the rheumatic heart disease (RHD) contributes to approximately 70% of heart disease seen in pregnancy. Heart disease in pregnancy is associated with adverse fetomaternal outcome and has re-emerged as one of the leading causes of maternal mortality. The maternal mortality rate in women with cardiac disease is 7% and morbidity is 30% during pregnancy in India. METHODS: This study was a prospective observational study conducted in the IPGMER & SSKM Hospital, Kolkata, West Bengal from December 2020 to February 2021. 36 Pregnant women with heart disease were taken as study group. Multiple pregnancy and any other medical disorder like GDM, PIH, were excluded from study. Fetomaternal outcome, mode of delivery, prematurity, LBW, NICU admission and maternal and neonatal mortality were compared. Template was generated in MS excel sheet and analysis was done on SPSS software. RESULTS: Among 36 patients 14 (38.89%) patients belonged to age group 25-29 years and 2 (5.56) belonged to age group <20 years. 13 (36.11%) patients belonged to lower middle class and 17 (47.22%) belong to lower class. 19 (52.78%) patients were P and 9 (25%) were P parity group. 20 (55.56%) belong to gravida G1. 10 (27.78%) 0+0 1+0 patients had CHD and RHD. 20 (55.56%) were normal delivery. 13 (36.11%) of babies were underweight. Maternal death were 2 (5.56%). CONCLUSIONS: Feto-maternal outcome can be improved appreciably by antenatal care, early diagnosis and management.
No takes yet. Share an insight, caveat, or question.
Patra et al. (2021) conducted an observational in Heart disease in pregnancy (n=36). Heart disease was evaluated on Fetomaternal outcome, mode of delivery, prematurity, LBW, NICU admission and maternal and neonatal mortality. In 36 pregnant women with heart disease, 55.56% had normal deliveries, 36.11% of babies were underweight, and maternal mortality was 5.56%.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: