Key result
Among 100 pregnant women with cardiac disease, rheumatic heart disease was the most common lesion (66%), and pregnancies resulted in no maternal or neonatal deaths.
Why the study?
Cardiac disease is an important cause of maternal mortality and morbidity both in antepartum and postpartum periods, motivating the assessment of maternal and fetal outcomes in a tertiary care centre.
Observational (n=100)
No
In a tertiary center in India, rheumatic heart disease remains the most common cardiac complication in pregnancy, but with appropriate care, maternal and fetal survival can be excellent.
Suggests specialized care can yield excellent survival in pregnant cardiac patients; leaves open generalizability beyond this single Indian cohort.
Background: Cardiac disease is an important cause of maternal mortality and morbidity both in antepartum and postpartum period.The overall incidence of heart disease in pregnancy is <1%.Aims and Objectives: To determine the maternal and fetal outcome among pregnant women with cardiac diseases in a tertiary care centre.Methods: This study was conducted in the Department of Obstetrics and Gynaecology at sree mookambika institute of medical sciences kulasekharam.100 women with heart disease which were previously established or diagnosed during pregnancy were enrolled in the study. Results:The prevalence of heart disease amongst all pregnancies found in hospital was 6.3%.The principal cause of cardiac lesion was Rheumatic heart disease (RHD) (66%) while congenital heart disease was seen in 17%.Conclusion: Counselling, appropriate referral and antenatal supervision improve the pregnancy with heart disease outcome.
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Nair et al. (2020) conducted an observational in Cardiac disease in pregnancy (n=100). Cardiac disease was evaluated on Maternal and fetal outcomes (including maternal mortality and perinatal mortality). Among 100 pregnant women with cardiac disease, rheumatic heart disease was the most common lesion (66%), and pregnancies resulted in no maternal or neonatal deaths.
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