A retrospective study on fetomaternal outcome in women with heart disease in a tertiary care hospital of Eastern India.

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    • Subject Terms:
      BHUBANESWAR (India); INDIA
    • Abstract:
      Aim: To assess the maternal and fetal outcomes of pregnancies complicated by heart disease in a tertiary care hospital. Methods: The present retrospective study was conducted in the department of Obstetrics and Gynaecology, IMS & SUM Hospital, Bhubaneswar, Odisha from February 2016 to January 2021. A total of 288 cases of pregnant women with heart disease were studied. The sociodemographic data like age, parity, gestational age of presentation, mode of delivery, type of heart disease, maternal and perinatal complication were noted from hospital records and studied. The kind of heart disease and the patient's status according to the New York Heart Association (NYHA) categorization were used to interpret perinatal and maternal outcomes. Results: Rheumatic heart disease and congenital heart disease were found to be 87.5 percent and 12.5 percent, respectively. According to the NYHA functional classification, 55.6, 36.1, and 8.3 percent of the patients were in NYHA classes I, II and III-IV, respectively. There was no maternal mortality in this study. In 16 (11.1%) of the cases, there was maternal morbidity. In this series, there were six perinatal deaths (4.2 percent). The NYHA stage I-II and stage III-IV groups had no significant differences in birth weight, gestational age at delivery, or perinatal morbidity (P>0.05), while the NYHA stage III-IV group had considerably greater maternal morbidity and caesarean delivery rates (P=0.001). Conclusion: The vast majority of the patients belonged to an excellent functioning group. The maternal cardiac classification and maternal morbidity have a substantial relationship. [ABSTRACT FROM AUTHOR]
    • Abstract:
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