To study the incidence of rheumatic heart disease and congenital heart disease with pregnancy

Abstract

The aim of the study is to study the incidence of rheumatic heart disease and congenital heart disease with pregnancy. Patients with heart Diseases either booked or unbooked cases who were admitted in OBGY during study period, were recruited. The booked cases were seen by obstetrician in outpatient department and by cardiologist in the respective O.P.D.to check their cardiac status. Maximum no. of cases were in age group 21-25 yrs. Followed by equal no. of cases in age group <20 yrs. and 26-30 yrs. 30 cases, 30(90%) cases were suffering from rheumatic heart disease while only 03 (10%) cases had congenital heart disease. The distribution of cases according to period of gestation in weeks. The maximum no. 14 (46.6%) of cases had come with the pregnancy of 33-40 weeks. Only 01 cases were postmature. 23.3% of cases delivered spontaneously. L.S.C.S. done in 16.6%. ventouse applied in 03 cases & forceps in 1 case. Premature deliveries in 20% cases. We conclude an incidence of 0.2%. Mostly cases were rheumatic heart disease (90%). Out of which 32% had mitral stenosis as commonest lesion. 8.9% cases were of congenital heart disease. Maximum cases 4.3% were between age group 21-25 but mostly belong to low risk category. 23.3% cases had spontaneous vaginal delivery. LSCS was done only in 16.6% cases, with mostly because of obstetrics and foetal causes.Pre-conception counseling should be offered to all women with heart disease with the aim of avoiding risks and helping them to plan their future.