Clinical profile and obstetric outcome in pregnancies complicated by heart disease: a five year Indian rural experience

Maternal and fetal outcome in cardiac disease complicating pregnancy at a tertiary centre in a rural area

“…Similar results were seen in studies by Sheela et al and Nilajkumar et al 7,9 IJBR (2014) 05 (03) www.ssjournals.com…”

“…9 In our study, the predominant lesion was Rheumatic Heart Disease (66.7%) and most of the women had involvement of mitral valve.The results were comparable with studies done by Sheela et al (67%), Mahesh et al (64%) and Nilajkumar et al (80%). 7,9,10 The ratio of RHD: CHDin our study was 2:1. The rheumatic heart disease is high in our centre due to lack of prevention, early detection with proper medical and surgical treatment, and proper follow-up of rheumatic fever in childhood, which could prevent complications during pregnancy.…”

“…7,10 Out of 60 pregnant women in the study group, only 24 (40%) had undergone surgical intervention for cardiac disease. The results were comparable with studies by Mahesh et al, Aggarwal et al and Bhatla et al 7,8,11 During pregnancy, 6 patients underwent surgical intervention due to deterioration of the cardiac status. We attribute the lack of awareness of heart disease and poor economic status in our patients as the cause of such deterioration.…”

“…Studies done by various authors have shown similar results. 7,10,[13][14][15] The cardiac complications were noted in eight patients, out of which six developed CCF, one developed pulmonary edema and the other had atrial fibrillation. All eight patients were treated in Intensive Care Unit, out of which six patients recovered and two died.…”

Clinical study of cardiac diseases during pregnancy

“…Rheumatic heart disease was the most common cause of cardiac disease and mitral stenosis was the most common cardiac lesion noted in our study, which was comparable to other studies. 2,3,[6][7][8][9][10] With the advent of more modern techniques and advancement in knowledge, the circulation and hemodynamic during pregnancy has been well understood and managed. 11 Use of echocardiogram provides aetiology of the type of lesion and non-invasion method of ascertaining the severity of the lesion.…”