STUDY OF MATERNAL AND PERINATAL OUTCOME IN HEART DISEASE COMPLICATING PREGNANCY IN A TERTIARY CARE HOSPITAL

SHANTHAVIBALA; SHANTHIRANI

Volume : VI, Issue : V, May - 2017

STUDY OF MATERNAL AND PERINATAL OUTCOME IN HEART DISEASE COMPLICATING PREGNANCY IN A TERTIARY CARE HOSPITAL

Shanthavibala, Shanthirani

Abstract :

INTRODUCTION cardiovascular disease (CVD) complicates 1% to 4% of pregnancies. Increasing maternal age, obesity, diabetes, and hypertension rare important risk factors. proper counselling of patients prior to pregnancy and appropriately managing patients during pregnancy is of vital importance. . Risk of adverse outcome is more in rural population as compared to its urban counterpart. MATERIALS AND METHODS: A cross sectional clinical study of cases of pregnancy complicated by heart disease, reporting to govt theni medical college for delivery during jan 2015–dec 2015 ,was carried out to find out the incidence and maternal and fetal outcome. RESULTS The incidence of heart disease in pregnancy in the present study was 1.97 %.Most of the women ( 83 %) belonged to low socioeconomic class in the rural population. Rheumatic heart lesions constituted 76.6 % of the cases. .Mitral stenosis was the commonest lesion in 40% of cases. Twenty two (62.8%) women delivered spontaneously vaginally at term and 4 ( 11% ) delivered prematurely. There were 7 ( 20%) cases of prophylactic forceps delivery. Cesarean section was performed in 2 cases .There was no maternal death .The perinatal mortality was 40 per 1000 live births. CONCLUSION: proper preconceptioanl counselling, early diagnosis of heart disease ,frequent and regular antenatal check up ,institutional delivery, contraceptive advice can lower the maternal and perinatal mortality and morbidity associated with heart disease.