Feto�Maternal Outcome of pregnancies complicated by low and intermediate risk heart disease at a peripheral hospital : Experience from a single centre

Dr. Mohd Rasheed; Dr Vivek Aggarwal; Dr Gunjan Rai

Volume : VII, Issue : I, January - 2017

Feto�Maternal Outcome of pregnancies complicated by low and intermediate risk heart disease at a peripheral hospital : Experience from a single centre

Dr. Mohd Rasheed, Dr Vivek Aggarwal, Dr Gunjan Rai

Abstract :

About 1% of pregnancies are complicated by cardiac disease making such patients high risk, and leading to increased morbidity and mortality. With proper work up, risk stratification and regular follow up, it may be possible to manage these pregnancies at a peripheral hospital with help of a physician. Present study is a cross sectional observational study of pregnancies complicated by low and intermediate risk heart disease managed at peripheral hospital along with feto–maternal outcome. The results showed that 80% of pregnancies with heart diseases could be managed at peripheral set up. Maternal complications were noted in 17.94% patients with no maternal mortality. Neonatal complications were seen in 33.33% neonates and one patient had a still birth. These findings suggest that most of the pregnancies complicated by low to intermediate risk heart disease can be successfully managed in a peripheral hospital. Careful selection of the patients, risk stratification and timely referral are important in reducing maternal mortality and improving fetal outcome.