OBSTETRIC OUTCOME IN PREGNANCY WITH HEART DISEASE

Abstract

Background: Pregnancy associated with any form of heart disease is a challenge for both obstetrician and cardiologist. The advancement in surgical techniques & minimal invasive surgeries have improved the prognosis of congenital lesions and many women even with severe defects are now reaching the child-bearing age. The number of pregnant women with coronary disease is expected to grow due to advanced maternal age and increased cardiovascular risk factors in women. Materials and Methods:This study was carried out in the department of Obstetrics and Gynecology in Lal Ded Hospital,an associated hospital of GMC,Srinagar.All the patients admitted in antenatal ward and delivered at period of gestation 28th weeks and beyond during the study period of 2019-2020 were included in the study. Results: Primigravida accounted for the majority group of heart disease with pregnancy and majority (90%) of them delivered at term and 10% had preterm delivery.Cardiac complications like pulmonary hypertension and congestive cardiac failure were present in 13.3% of cases. Conclusions:Rheumatic heart disease still remains the most common cardiac problems found in pregnant women. The incidence of heart disease in pregnancy was found to be 0.2% and majority of them belonged to 30-39 years group,un-booked and from rural background.