Abstract

AN OBSERVATIONAL STUDY OF FETO-MATERNAL OUTCOME IN PREGNANCY WITH HEART DISEASE

Dr. Swati Meena, *Dr. Vivek Rawat and Dr. Himani Maurya

Abstract

Background: Cardiac disease in pregnancy is still a major problem worldwide, particularly in developing countries like India. The reported incidence varies between 0.1 - 0.4% and responsible for about 10 - 25% of maternal mortality. The child bearing women with heart disease are the unique challenge to the health care provider as common features of cardiac lesions like breathlessness, pedal edema and murmur that mimic normal physiological changes of pregnancy and pose diagnostic difficulties. Both women with pre-existing yet undiagnosed heart disease and those with new (whether or not pregnancy-related) disease are likely to present primarily to obstetricians or primary caregivers and not to a cardiologist. A timely diagnosis therefore depends on adequate awareness on the part of their obstetrician. Aim: To determine feto-maternal outcomes in pregnant patients with heart disease. Material & methods: A descriptive type of observational study of 110 patients with heart disease from March 2016 to December 2017 in Department of Obstetrics and Gynaecology, Sawai Man Singh Medical College, Jaipur. Conclusion: Cardiac diseases during pregnancy need to be given utmost priority. Good antenatal care combined with obstetric and gynecologist, neonatologist, cardiologist and anesthesiologist i.e. a multi-disciplinary combined approach can bring about successful outcome in pregnancies complicated by heart disease.

Keywords: Observational study, pregnancy with heart disease, feto-maternal outcome.