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Assessment of outcomes of heart diseases in pregnancy: A cross sectional study in tertiary healthcare teaching institute in metropolitan city

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Original Article

Author Details : Shaifali Patil, Shivali Tripathi, Utkarsha Patil

Volume : 5, Issue : 2, Year : 2018

Article Page : 259-262

https://doi.org/10.18231/2394-2754.2018.0057

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Abstract

Introduction: World is still facing heart diseases in pregnancy as a major problem, particularly in poor countries. Although the reported incidence varies between 0.1 and 4%, 1-3 cardiac disease remains a significant cause of maternal death worldwide. Cardiac disease in the pregnant patient can present challenges in cardiovascular and maternal-fetal management.in normal patients, pregnancy imposes some dramatic physiologic changes.
Materials and Methods: This observational study was conducted in the department of obstetrics and gynecology of M.G.M healthcare institute, Kalamboli, Maharashtra, India. This study includes total of 8 pregnant women, both referred and registered cases with history of cardiac disease were admitted in obstetric ward from January 2016 to September 2016.
Results: 75% of our study cases were between the age group of 20 years to 25 years, whereas 25% cases presented between the age group of 26 years to 30 years. This study reports the most common lesion as RHD with mitral stenosis. 38% of the patients from our study had Rheumatic heart disease and most of the patients had more than one lesion.
Discussion: According to present study, the cardiac disease appears to be a risk factor for maternal and neonatal morbidity and mortality. Rheumatic heart disease was observed to be the predominant lesion in our case series.
Conclusion: Heart disease in pregnancy is a high risk condition. It is a major determinant of pregnancy and its outcome.

Keywords: Heart diseases in pregnancy, Pre-Eclampsia, Pregnancy induced hypertension, RHD in pregnancy.

 

How to cite : Patil S, Tripathi S, Patil U, Assessment of outcomes of heart diseases in pregnancy: A cross sectional study in tertiary healthcare teaching institute in metropolitan city. Indian J Obstet Gynecol Res 2018;5(2):259-262

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