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Maternal and perinatal outcome of pregnancies complicated by cardiac disease
Author(s) -
AbdelHady E.S.,
ElShamy M.,
ElRifai A.A.,
Goda H.,
AbdelSamad A.,
Moussa S.
Publication year - 2005
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2005.03.008
Subject(s) - medicine , perinatal mortality , pregnancy , heart disease , disease , pediatrics , obstetrics , fetus , genetics , biology
Objective: The aim of this study was to assess the maternal and perinatal outcome of pregnancies complicated by cardiac disease in a tertiary care center in Egypt. Methods: During a 1‐year period, a total of 86 pregnant women with cardiac disease were admitted. Maternal and perinatal morbidity and mortality were calculated and compared with a control group. Results: Seventy‐seven (89.5%) patients were due to rheumatic affection, and 60 patients were classified as NYHA classes I–II. There was one case of maternal mortality (1.16%), and 10 other cases developed life‐threatening complications. Two perinatal mortalities (2.32%) occurred in this series. Birth weight of babies born to mothers with functional classes III and IV were significantly lower than those of functional classes I–II and control group. Conclusion: Rheumatic heart disease with pregnancy is still predominant in Egypt. Maternal and perinatal morbidity and mortality are strongly correlated to maternal cardiac functional classification.