ONE YEAR REVIEW OF PATIENTS ADMITTED WITH CARDIAC DISEASES IN PREGNANCY IN A TERTIARY CARE HOSPITAL OF PESHAWAR

Main Article Content

Shahzadi Saima Hussain
Tanveer Shafqat
Mehnaz Raees
Qudsia Qazi

Abstract

Objective: To identify the frequency and type of cardiac diseases in pregnant women and their fetal and maternal outcome.


Methodology: This observational study was carried out in Unit A, Department of Gynecology and Obstetrics, Lady Reading Hospital, Peshawar from mid January 2019 to mid January 2020. After informed written consent, using non probability consecutive sampling all pregnant women presenting with cardiac diseases were included in this study. Age, parity, mode of delivery, and period of gestation were recorded. Cardiac disease was diagnosed on the basis of symptoms, ECG and echocardiography. Types of different cardiac lesions and maternal risk were noted according to Modified World Health Organization classification of maternal cardiovascular risk. Maternal and fetal outcomes were measured in terms of mortality. Data was analyzed using SPSS version 20.


Results: In one year, a total of 10263 pregnant ladies were admitted and among them 43 (0.42%) patients had cardiac disease. It was observed that 79.1% (n=35) were diagnosed for 1st time during pregnancy. Most frequent cardiac disorder was cardiomyopathy, found in 27.9% (n=12) of patients, followed by congenital heart disease in 18.6% (n=8), in the form of mitral and aortic stenosis. Maternal and fetal mortality was 4.7% (n=2) and 9.3% (n=4), respectively.



Conclusion: There is a small proportion of pregnant patients with cardiac disease among all pregnancies. Most of the patients were multiparous and cardiomyopathy was found to be the most prevalent cardiac disease.

Article Details

How to Cite
1.
Hussain SS, Shafqat T, Raees M, Qazi Q. ONE YEAR REVIEW OF PATIENTS ADMITTED WITH CARDIAC DISEASES IN PREGNANCY IN A TERTIARY CARE HOSPITAL OF PESHAWAR. J Postgrad Med Inst [Internet]. 2021 Mar. 31 [cited 2021 Oct. 16];35(1):3-6. Available from: https://jpmi.org.pk/index.php/jpmi/article/view/2776
Section
Original Article

References

Nickens M, Long R, Geraci S. Cardiovascular disease in pregnancy:(women’s health series). South Med J. 2013;106(11):624-30. https://doi.org/10.1097/SMJ.0000000000000015.

Trinidad D, Cox RA. Heart diseases during pregnancy. P R Health Sci J. 2006;25(3):259-65.

Ansari A, Akram U, Khattak S, Rabbani F, Khalil H. Risk scoring and outcome in pregnant cardiac patients in a peripheral tertiary care centre. Pak Armed Forces Med J. 2019;69(1):15-20.

Piercy CN. Heart disease in pregnancy. In: Edmonds K, editor. Dewhurst’s textbook of Obstetrics and Gynaecology (Eighth edition):John Wiley & Sons; 2011. p.111-20.

Murphy JF. Mothers and babies-reducing risk through audits and confidential enquiries. Ir Med J. 2012;105(7):228.

Jastrow N, Meyer P, Khairy P, Mercier LADore A, Marcotte F, Leduc L. Prediction of complications in pregnant women with

cardiac diseases referred to a tertiary center. Int J Cardiol. 2011;151(2):209-13. https://doi.org/10.1016/j.ijcard.2010.05.045.

Vause S, Thorne S, Clarke B. Preconceptional counselling in woman with cardiac disease.in: Steer PJ, Gatzoulis MA, editors.

Heart disease and pregnancy. Cambridge University Press; 2016.p.1 https://doi.org/10.1017/CBO9781316156063.

European society of gynecology (ESG); Association for European Paediatric Cardiology (AEPC); German society for gender

medicine (DGesGM), Regitz-Zagrosek V, Blomstrom Lundqvist C, Borghi C, et al; ESC Committee for practice guidelines.

ESC Guidelines on the management of cardiovascular diseases during pregnancy: the task force on the management of

cardiovascular diseases during pregnancy of the European society of cardiology (ESC). Eur Heart J. 2011;32(24):3147-97. https://doi.org/10.1093/eurheartj/ehr218.

Asghar F, Kokab H. Evaluation and outcome of pregnancy complicated by heart disease. J Pak Med Assoc. 2005;55(10):416-9.

Wasim T, Amer W, Majrroh A, Siddiq S. Foetomaternal outcome of pregnancy with cardiac disease. J Pak Med Assoc. 2008;58(4):175-8.

Latif L, Iqbal UJ. Prevalence of cardiac diseases. Professional Med J. 2015;22(11):1443-8. https://doi.org/10.17957/TPMJ/15.2990

Roos-Hesselink J, Baris L, Johnson M, De Backer J, Otto C, Marelli A, et al. Pregnancy outcomes in women with cardiovascular disease: evolving trends over 10 years in the ESC Registry Of Pregnancy And Cardiac disease (ROPAC). Eur Heart J. 2019;40(47):3848-55. https://doi.org/10.1093/eurheartj/ehz136.

Yaghoubi A, Mirinazhad M. Maternal and neonatal outcomes in pregnant patients with cardiac diseases referred for labour in northwest Iran. J Pak Med Assoc. 2013;63(12):1496-9.

Most read articles by the same author(s)

1 2 > >>