Farah Yousaf.
Pregnancy with cardiac disease; prevalence fetal and maternal outcome in pregnancy with cardiac disease.
Professional Med J Jan ;24(1):106-9.

Objective: Objective of study was to find out prevalence and fetal and maternal outcome in pregnancy with cardiac disease. Study design: A retrospective descriptive study. Setting: Services Hospital Department of Obs and Gynae unit-2. Period: 1st January to 31st December 2015. Methodology: All cardiac patients who delivered after 28 week gestation were included in the study. Case-notes of cardiac patients were reviewed, patients age, parity and gestational age was recorded. Maternal and fetal outcome was noted in relation with NYHA classification, data was analyzed. Results: In our study prevalence of cardiac disease was 1.09 %. Age of most patients were between 26-30 years, 44.68%. Most of patients were multiparous 57.44%. According to NYHA classification, 63.82% had class 3 & 4 cardiac disease. Rheumatic heart disease was present in 91.48%. Thirty patients were delivered by caesarean section. There were 3 IUD and 2 perinatal deaths. Maternal mortality was 2.12%. Preterm delivery occurred in 20 patients. Conclusion: Cardiac disease is important cause of maternal and perinatal morbidity and mortality. It’s important to counsel all women of reproductive age with known cardiac disease, about increased fetal and maternal risk during pregnancy. Cesarean section may be considered in patients with moderate or severe MS with class 3-4 symptoms.

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