Abstract
Objective To investigate the delivery mode and pregnancy outcome in pregnant women with heart failure. Methods A total of 100 pregnant women with heart failure admitted to Jiaozhou People's Hospital from January 2017 to January 2018 were selected as the research objects, and the incidence of delivery modes (vaginal delivery and cesarean section) and adverse pregnancy outcomes (neonatal asphyxia, full-term low body mass, premature birth, perinatal death) were counted. Results Of the 100 pregnant women, 10 were NYHA grade Ⅰ, 49 were NYHA grade Ⅱ, 29 were NYHA grade Ⅲ and 12 were NYHA grade Ⅳ. The vaginal delivery rate of grade Ⅰ+ Ⅱ pregnant women was 52.54% (31/59), and that of grade Ⅲ+ Ⅳ pregnant women was 26.83% (11/41), and the difference was statistically significant (P<0.05). The incidence of neonatal asphyxia, full-term low body mass, premature delivery and perinatal mortality of grade Ⅰ+ Ⅱ pregnant women were lower than those of the control group, and the difference was statistically significant (P<0.05). Conclusion Heart function status of pregnant women with heart failure can have a significant impact on delivery mode and pregnancy outcomes. The higher the cardiac function classification, the higher the risk of cesarean section rate and adverse pregnancy outcomes. Key words: Cardiac function classification; Pregnancy; Heart failure; Delivery mode; Pregnancy outcome
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