Feto-Maternal Outcome of Pregnancy in Females Presenting With Cardiac Disease

Abstract

Introduction: The presence of maternal heart disease has an adverse effect on pregnancy outcomes. Objectives: To assess the feto-maternal outcome of pregnancy in females presenting with cardiac disease. Study Design: This descriptive case series was conducted in department of obstetrics and gynecology, unit-I, Jinnah hospital, Lahore. Subjects and Methods: A total of 160 patients were included in this study, after delivery, birth weight was noted and lbw was labeled if weight was low. If baby died within 48 hours, then neonatal mortality labeled (as per operational definition). Females were followed-up in OPD and called for postpartum examination. If female died within 7 days, then maternal mortality labeled. Results: Mean ± SD age of patients was 26.5 ± 4.5 years. Majority of women were between 26-40 years of age. Mean ± SD gestational age was 36.6 ± 2.2 weeks, mean duration of disease was 6.4 ± 3.8 years, and mean BMI was 35.5 ± 8.5 kg/m2. There were 80 (50 %) nulliparous and 80 (50 %) multiparous. Majority of the patients were obese. Most common severity of disease was moderate 82 (51.2 %) and least severity of cardiac disease was mild 30 (18.8 %). Preterm deliveries were 57 (35.6 %). low birth weight babies were 84 (52.5 %). Neonatal mortality was 24 (15 %) and maternal mortality was 6 (3.8 %). stratification for age, gestational age, parity, obesity, severity of cardiac disease and duration of diseases was also carried out. Conclusion: Heart disease in pregnancy is associated with significant morbidity, it should be carefully managed in a tertiary care hospital to obtain optimum maternal and foetal out