Heart disease in pregnancy—clinical pattern and prevalence: initial data from the first cardio-maternal unit in Iraq

Farhan, Hasan Ali; Yaseen, Israa Fadhil

doi:10.1186/s13104-019-4523-6

Cited by 5 publications

(3 citation statements)

References 22 publications

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“…Farhan et al did a study for heart disease in pregnancyclinical pattern and prevalence at a cardio-maternal unit at Iraq in 2019 and found that from 252 patients with heart disease 34.1% was valvular disease, followed by congenital heart disease in 30.5%, cardiomyopathy in 29.8%, pulmonary hypertension in 4% and ischemic heart disease in 1.6%. 2 Shrestha et al did a systemic review and meta-analysis of prevalence and outcome for pregnancy with heart disease in South Asia, included 25 studies in final quantitative synthesis and found the result that prevalence of heart disease in pregnancy was 1.46%. From that 70.25% had rheumatic heart disease and 18.1% had congenital heart disease.…”

Section: Discussionmentioning

confidence: 99%

Cardiac disease in pregnancy

Thakkar,

Agarwal

2024

Int J Reprod Contracept Obstet Gynecol

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Cardiac disease is an important cause of maternal morbidity and mortality. It can invariably affect fetus with variable intensity depending upon nature of cardiac disease in mother. Cardiac disease can affect women antenatally, in labor and even in post-partum period. It is a case series of 12 cases who presented to labor room in a particular unit at SSG hospital, Baroda over a period of 1 year starting from 1st May 2022 to 30th April 2023. Mean age at presentation was 24.8. 3 women were having valvular heart disease while 4 were having peri-partum cardiomyopathy (PPCM), 4 were having atrial septal defect (ASD), 1 was having ventricular septal defect (VSD). Associated medical comorbidities and obstetrical factors were evaluated. 2D ECHO findings of all cases were recorded. Risk assessment must be done for the mother and fetus to minimize the effect of cardiac disease in pregnancy. Joint consultation with cardiologist should be done in already known case of cardiac disease.

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Section: Discussionmentioning

confidence: 99%

Cardiac disease in pregnancy

Thakkar,

Agarwal

2024

Int J Reprod Contracept Obstet Gynecol

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“…Hence, it is the need of the hour for medical professionals to act as a multidisciplinary team including gynecologist, anesthetist, physician, cardiologist, and neonatologist for improving the fetomaternal outcome of these patients. [2][3][4][5][6] The present retrospective analysis is an attempt to assess the impact of cardiac diseases on pregnancy and understanding their indifferent presentations for the better alignment and understanding of cardiac diseases in pregnancy so that right step can be taken at the right time to improve maternal and fetal outcome.…”

Section: Introductionmentioning

confidence: 99%

Pregnancy with heart disease: Fetomaternal outcome: A retrospective analysis from a tertiary care teaching hospital in Northern India

et al. 2023

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Background: Heart diseases are the most significant non-obstetrical causes of maternal deaths, accounting for up to 15% of all cases. The present retrospective analysis is an attempt to assess the spectrum and impact of cardiac diseases on pregnancy. Aims and Objectives: The aims of this study were to analyze the maternal and perinatal outcomes and spectrum of heart disease in pregnancy. Materials and Methods: The study was carried out in the Department of Obstetrics and Gynecology at PGIMS, Rohtak, where retrospective record of inpatient obstetrics registry of pregnant women with cardiac diseases was analyzed. Clinical information obtained from the patient’s medical records including clinical presentation, laboratory investigations, 2-D echocardiography, maternal, and neonatal outcomes were noted. All pregnant women as well as postpartum patient with cardiac disease were included in the study. Results: A total of 62 pregnant women with heart diseases were hospitalized during the study period. Spectrum of heart disease among these women analyzed and we found that the 22 had rheumatic heart disease (RHD), 14 had congenital heart disease (CHD), and 14 had cardiomyopathies (CMP). LSCS was done for 24 and out of these, nine were elective LSCS while 15 were emergency LSCS. Vaginal deliveries were performed in 31 women. Twenty-eight women got shifted to intensive care units during course of treatment. Three intrauterine deaths were noted in our study. Conclusion: We have concluded from the present study and after reviewing the literature about spectrum of heart diseases in pregnancy, that the most common cardiac lesions complicating the pregnancy are RHD followed by CHD and CMP. Successful management of heart disease with pregnancy can be achieved by timely diagnosis and safe transfer of patient to the cardiomaternal tertiary care, where multidisciplinary teams are available.

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“…But after 2010, the rate of maternal mortality began to decline, despite increase in the number of high risk patients. This decline is attributed to improvement in medical service [4]. This means that with proper preventive measures, these diseases can be detected early and the progress of the disease can be altered.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Heart Diseases in Pregnancy

Ragavi

Sirisha

Parimala

2021

JPRI

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Introduction: Cardiac diseases complicate 1% of all pregnancies. It is one of the 3 major indirect causes of maternal mortality in India. Methodology: This qualitative study was conducted at Saveetha medical college and hospital. Out of 1320 women who delivered between June 2020 to June 2021, 15 women had heart disease and they were included in the study. All the 15 women were asymptomatic. Results: A total of 15 pregnant women were included in the study. There were no twin pregnancies. In total, 2 women presented with congenital heart disease and 13 women with acquired heart disease. Out of the 15 women, 4 delivered vaginally and the remaining 11 had undergone LSCS. Discussion: During pregnancy, major changes occur in the cardiovascular system to meet the increasing metabolic needs of the mother and fetus. If these changes are not met with, it can lead to maternal and fetal morbidity. Failure to make normal adjustments can worsen an existing heart condition or early manifestations of a previously unknown condition, and therefore pregnancy is a natural stress test. The changes that occur during pregnancy and the physiology of pregnancy itself will enhance some pathological processes of the heart. Understanding these changes is important, and adjustments may vary from person to person. Conclusion: A developing cardiovascular disorder should be detected as early as possible and also it should be a priority in pregnancy monitoring, and if a disorder is identified, the cardiologist team should be involved immediately. Many groups dedicated to managing heart problems during pregnancy, is recommended as it leads to better clinical outcomes.

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Heart disease in pregnancy—clinical pattern and prevalence: initial data from the first cardio-maternal unit in Iraq

Cited by 5 publications

References 22 publications

Cardiac disease in pregnancy

Cardiac disease in pregnancy

Pregnancy with heart disease: Fetomaternal outcome: A retrospective analysis from a tertiary care teaching hospital in Northern India

Analysis of Heart Diseases in Pregnancy

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