IMR Press / CEOG / Volume 43 / Issue 4 / DOI: 10.12891/ceog2111.2016

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research
Perinatal and neonatal outcomes of maternal heart diseases
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1 Obstetrics and Gynecology Department, Haydarpaşa Numune Teaching Hospital, Istanbul (Turkey)
Clin. Exp. Obstet. Gynecol. 2016, 43(4), 560–564; https://doi.org/10.12891/ceog2111.2016
Published: 10 August 2016
Abstract

Aims: To explore the perinatal and neonatal outcomes of patients with heart diseases. Materials Methods: Retrospective case control analysis was carried out among 10,527 deliveries, 188 pregnancies complicated by cardiovascular disease (CVD) compared with pregnancies without CVD for obstetric outcomes from January 2000 to December 2012. The effect of cardiac functional classification (NHYA) on maternal and neonatal complications was explored. Results: The incidence of CVD in pregnancy was 1.78%. About 80.3% had rheumatic heart disease (RHD). Maternal and neonatal mortality rate was 1.06% and 2.13 %, respectively. The obstetric outcomes of women in NHYA class I / II were similar to normal group. Vaginal delivery was the preferred way of birth unless deterioration of cardiac functions as in the cases of NHYA class III/IV. NHYA class III/IV had significantly decreased birth weight, premature birth, and increased maternal-neonatal mortality (p < 0.05). Conclusion: RHD is still prevalent. The cardiac functional capacity predicts maternal and neonatal outcomes.
Keywords
Maternal heart disease
Perinatal outcomes
Neonatal outcomes
Rheumatic fever
Pregnancy
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