Document Detail

Maternal and perinatal outcome in rheumatic heart disease.
MedLine Citation:
PMID:  12527454     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To study the maternal and perinatal outcome of pregnancies complicated by rheumatic heart disease. METHODS: A retrospective study was carried out in the cardio-obstetric clinic of the Postgraduate Institute of Medical Education and Research, Chandigarh (India) over a period of 13 years (1987-1999) involving 486 pregnant patients with rheumatic heart disease. Maternal and perinatal outcome was reviewed. RESULTS: Three hundred and four patients (63.3%) had single valve involvement and mitral stenosis was the most predominant lesion (89.2%). One hundred and seventy one (38.6%) patients had undergone surgical correction prior to the onset of pregnancy. One hundred and thirteen patients (22.6%) were identified as NYHA class III-IV. Mitral valvotomy was performed during pregnancy in 48 patients. The incidence of preterm birth and small for gestational age newborns was 12% and 18.2%, respectively. There were 10 maternal deaths, of which eight patients were NYHA III and IV. CONCLUSIONS: Rheumatic heart disease in pregnancy is associated with significant maternal and perinatal morbidity in NYHA class III-IV patients.
H Sawhney; N Aggarwal; V Suri; K Vasishta; Y Sharma; A Grover
Related Documents :
8309584 - Magnetic resonance evaluation of disease activity during pregnancy in multiple sclerosis.
6625114 - Impetigo herpetiformis and pustular psoriasis during pregnancy.
8938634 - Pregnancy in patients with primary sclerosing cholangitis.
8227454 - Late onset papillon-lefèvre syndrome? a chromosomic, neutrophil function and microbiolo...
15748054 - Plasmodium falciparum infection during pregnancy in an unstable transmission area in ea...
20373934 - The diagnostic value of beta-human chorionic gonadotropin, progesterone, ca125 in the p...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  80     ISSN:  0020-7292     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  2003 Jan 
Date Detail:
Created Date:  2003-01-15     Completed Date:  2003-05-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  9-14     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Gestational Age
Heart Valve Diseases / mortality,  surgery*
Infant, Newborn
Outcome Assessment (Health Care)*
Pregnancy Complications / mortality,  surgery*
Pregnancy Outcome*
Retrospective Studies
Rheumatic Heart Disease / mortality,  surgery*
Severity of Illness Index

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Spatial, contextual and working memory are not affected by the absence of mossy fiber long-term pote...
Next Document:  The outcome of macrosomic fetuses in a low risk primigravid population.