PREGNANCY;

OUTCOME IN CARDIAC DISEASE

Abstract

Objective: To determine pregnancy outcome in patients presenting with heart disease during pregnancy and labour. Design:
Descriptive study. Place & Duration of study: This study was conducted in Gynae Unit-I, Allied Hospital affiliated with Punjab Medical College,
Faisalabad, during a period of 2 years from January 2009 to December 2010. Materials & Methods: This study included 74 patients who
presented with congenital or acquired heart disease during pregnancy or labour. Patients were evaluated for their cardiovascular status by
cardiologist. Relevant investigations done to assess maternal and fetal condition. Results: 50 patients (67.6%) were in age group 20-25 years.
Congenital heart disease was present in 8 (1.8%) patients while acquired heart disease was present in 66 patients (98.2%). 52 patients (70.3%)
achieved term delivery, while 8 patients (10.8%) had spontaneous miscarriage and 14 patients (18.9%) had preterm delivery. 50 patients (76%)
had live birth with normal birth weight, 12 patients (18%) had fetuses which were small for gestational age (SGA), 2 patients (3%) had stillbirth
and 2 patients (3%) had early neonatal death due to prematurity. Conclusions: Heart disease in pregnancy is a high risk condition.
Multidisciplinary approach should be adopted in the management of cardiac patient to achieve good obstetric and fetal outcome.