Indian Journal of Obstetrics and Gynecology Research


Management of heart diseases in pregnancy at a tertiary centre: A case series


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Author Details: Harsha Ramdurg

Volume : 4

Issue : 4

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 395

Article End Page : 398


Abstract

Introduction: Cardiac disease in the pregnant patient can present challenges in cardiovascular and maternal-fetal management. The present study is a retrospective analysis of the cases treated at our institute of heart disease in pregnancy.
Objectives: The study was conducted to study the epidemiological, clinical and outcomes in patients of cardiac illness in pregnancy

Materials and Method: All pregnant patients of cardiac illness were admitted to the institute from 2015 to 2016 were studied. Data was collected from patient records operative notes and discharge summaries.
Results: 80 institutional deliveries were conducted in the above time period. Five cases cases of heart diseases complicating pregnancy were studied:2 cases of peripartum cardiomyopathy, one each of aortic stenosis, pulmonary stenosis and mitral stenosis with mitral regurgitation. However, one patient of peripartum cardiomyopathy patient was excluded as the patient was brought in an unconscious condition with poor Glassgow coma scale and on ventilator support and relatives declined treatment and was lost to follow up. All the other patients had satisfactory outcome.
Conclusion: Early identification of the cardiac lesions can lead to effective and safer delivery at places where advanced care is available.

Keywords: Peripartum cardiomyopathy, Aortic stenosis, Pulmonary stenosis, Mitral stenosis, Mitral regurgitation.