ABSTRACT
Objectives:
The main purpose of our study is to examine cases of pregnant patients with heart diseases in our tertiary referral hospital and to evaluate fetal and maternal outcomes.
Materials and Methods:
Pregnants with gestational age of 20 weeks or more and with any previous cardiac diseases were examined between 2013 and 2015 retrospectively. Fetal and maternal clinical data were collected accordingly.
Results:
In total, 6599 live births were carried out in our hospital. Of them, there were 120 pregnants with cardiac disease. Rheumatic valvular heart disease was the most common (n=66, 55%) disorder among the pregnants, followed by the heart rhythm disorders respectively (n=15; 12.5%). Twelve patients had congestive heart failure; twelve patients with congenital heart disease, eight patients with aort valve or aorta pathology; four with pulmonary hypertension, two with coronary artery disease and one with pericardial effusion. Three pregnants had left ventricular ejection fraction (LVEF) of less than 35%, six pregnants had LVEF between 35 to 50% and the rest of the pregnants had LVEF of >50%. Maternal death was not encountered, 22 patients (18.3%) were followed in cardiology intensive care unit postoperatively. Neonatal mortality was developed in 2 cases (1.66%) and the neonatal morbidity was developed in 6 cases (5%). The most common form of delivery was caesarean section (n=97, 81%). Premature birth ratio was 37.5% (n=45).
Conclusion:
Pregnants with heart disease have chance to give healthy births with low risk for maternal or neonatal complications provided close follow-up by a team of cardiologist, anesthetist, and obstetrician experienced in this field.
Keywords:
Heart Disease, Pregnancy, Maternal Morbidity
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