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Research Article

JCDR. 2021; 12(5): 251-254


A retrospective study on fetomaternal outcome in women with heart disease in a tertiary care hospital of Eastern India

Dr. Pratibha Jena, Dr. Sudeep Mohapatra, Dr. Suresh Kumar Behera.


Abstract

Aim: To assess the maternal and fetal outcomes of pregnancies complicated by heart disease in a tertiary
care hospital.
Methods: The present retrospective study was conducted in the department of Obstetrics and
Gynaecology, IMS & SUM Hospital, Bhubaneswar, Odisha from February 2016 to January 2021. A total
of 288 cases of pregnant women with heart disease were studied. The sociodemographic data like age,
parity, gestational age of presentation, mode of delivery, type of heart disease, maternal and perinatal
complication were noted from hospital records and studied. The kind of heart disease and the patient's
status according to the New York Heart Association (NYHA) categorization were used to interpret
perinatal and maternal outcomes.
Results: Rheumatic heart disease and congenital heart disease were found to be 87.5 percent and 12.5
percent, respectively. According to the NYHA functional classification, 55.6, 36.1, and 8.3 percent of the
patients were in NYHA classes I, II and III-IV, respectively. There was no maternal mortality in this
study. In 16 (11.1%) of the cases, there was maternal morbidity. In this series, there were six perinatal
deaths (4.2 percent). The NYHA stage I-II and stage III-IV groups had no significant differences in birth
weight, gestational age at delivery, or perinatal morbidity (P>0.05), while the NYHA stage III-IV group
had considerably greater maternal morbidity and caesarean delivery rates (P=0.001).
Conclusion: The vast majority of the patients belonged to an excellent functioning group. The maternal
cardiac classification and maternal morbidity have a substantial relationship.

Key words: cardiac disorders, pregnancy, maternal morbidity






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