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Maternal and perinatal outcome in rheumatic heart disease
Author(s) -
Sawhney H.,
Aggarwal N.,
Suri V.,
Vasishta K.,
Sharma Y.,
Grover A.
Publication year - 2003
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/s0020-7292(02)00029-2
Subject(s) - medicine , pregnancy , heart disease , incidence (geometry) , stenosis , pediatrics , obstetrics , perinatal mortality , gestational age , disease , fetus , genetics , physics , optics , biology
Objectives: To study the maternal and perinatal outcome of pregnancies complicated by rheumatic heart disease. Methods: A retrospective study was carried out in the cardio‐obstetric clinic of the Postgraduate Institute of Medical Education and Research, Chandigarh (India) over a period of 13 years (1987–1999) involving 486 pregnant patients with rheumatic heart disease. Maternal and perinatal outcome was reviewed. Results: Three hundred and four patients (63.3%) had single valve involvement and mitral stenosis was the most predominant lesion (89.2%). One hundred and seventy one (38.6%) patients had undergone surgical correction prior to the onset of pregnancy. One hundred and thirteen patients (22.6%) were identified as NYHA class III–IV. Mitral valvotomy was performed during pregnancy in 48 patients. The incidence of preterm birth and small for gestational age newborns was 12% and 18.2%, respectively. There were 10 maternal deaths, of which eight patients were NYHA III and IV. Conclusions: Rheumatic heart disease in pregnancy is associated with significant maternal and perinatal morbidity in NYHA class III–IV patients.