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ORIGINAL ARTICLE
Year : 2015  |  Volume : 12  |  Issue : 2  |  Page : 120-123

Maternal heart disease and pregnancy outcome: Findings from a retrospective cohort in a tertiary care government hospital in Haldwani, Nainital


1 Department of Obstetrics and Gynaecology, Government Medical College, Haldwani, Uttarakhand, India
2 Department of Medicine, Government Medical College, Haldwani, Uttarakhand, India
3 Department of Community Medicine, Government Medical College, Haldwani, Uttarakhand, India

Correspondence Address:
Godawari Joshi
2/411, Sheesh Mahal, Post Office Kathgodam, Nainital - 263 139, Uttarakhand
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0189-7969.152027

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Background: Heart disease in pregnancy is a potentially serious medical complication in pregnancy. Limited studies have been conducted in India to assess heart disease in pregnancy. Objective: To determine the type of cardiac lesions and to assess the maternal and fetal outcomes in patients with heart disease in pregnancy. Materials and Methods: In this retrospective study, 42 pregnant women with known or newly diagnosed heart disease were followed from January 2012 to December 2013. The data analysis was done using statistical software Systat 12. Results: Out of total 42 subjects selected for the study, maximum 13 (30.9%) were in the age group of 26-30 years. Majority of the women 30 (71.4%) were primigravida. Mostly 26 (61.9%) patients belonged to New York Heart Association (NYHA) class I andII. In total, 30 (71.4%) women presented with rheumatic heart disease and 6 (14.3%), with congenital heart disease. Majority 22 (52.4%) had spontaneous vaginal deliveryand only 8 (19.0%) required induction of labor. Most common maternal complication was heart failure (16.7%) and maternal deaths were 4.8%. The live birth was recorded in 38 cases (90.5%) of them 16 (42.1%) were preterm babies. Intrauterine death occurred in four cases while five babies died in neonatal period. Conclusion: The study results conclude that the rheumatic heart disease is still a predominant lesion and heart disease in pregnancy is associated with increased maternal and fetal risk.


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