IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-6-5-10828 Original Research Paper STUDY OF MATERNAL AND PERINATAL OUTCOME IN HEART DISEASE COMPLICATING PREGNANCY IN A TERTIARY CARE HOSPITAL Dr. May 2017 6 5 01 02 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.