Document Detail


Pregnancy and subsequent pregnancy outcomes in peripartum cardiomyopathy.
MedLine Citation:
PMID:  21114580     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To study the clinical profile and management of peripartum cardiomyopathy, and to analyze the pregnancy outcomes of pregnant women with this disorder as well as its effect on subsequent pregnancies.
METHODS: All patients admitted with peripartum cardiomyopathy from July 2006 to June 2009 by the Departments of Cardiology and Obstetrics and Gynecology from the Institute of Post Graduate Medical Education and Research, Kolkata, India, were considered for this observational study. Thirty-six women with 42 pregnancies (36 first pregnancies and six second pregnancies in the same patients) were evaluated.
RESULTS: Primiparas constituted 39% (14/36) of the total study population. Twenty-six women (72%) were clinically improved and in 17 (48%) the left ventricular functional status returned to normal. Five cases (14%) developed persistent cardiomyopathy (persistent left ventricular dysfunction beyond six months of presentation), and five women (14%) presented with thromboembolic events and anticoagulation was used as secondary prophylaxis. Maternal mortality was 14% (5/36). Among all live babies two had intrauterine growth restriction (IUGR) and another two died during the neonatal period. Of the six women with subsequent pregnancies, the patient with persistent cardiomyopathy died after delivering a stillborn baby. The remaining five cases with normal left ventricular functional status had favorable fetal outcomes; however, the mothers experienced morbidities such as symptoms of heart failure (two cases) and one of them progressed to persistent cardiomyopathy.
CONCLUSIONS: Subsequent pregnancies should be discouraged as it increases the risk of recurrence of left ventricular dysfunction. Anticoagulation may be considered as a primary prevention of thromboembolism in pregnant mothers with peripartum cardiomyopathy.
Authors:
Debasmita Mandal; Saroj Mandal; Dipankar Mukherjee; Subhash Chandra Biswas; Tapan Kumar Maiti; Nibedita Chattopadhaya; Biswakes Majumdar; Manotosh Panja
Publication Detail:
Type:  Journal Article     Date:  2010-11-28
Journal Detail:
Title:  The journal of obstetrics and gynaecology research     Volume:  37     ISSN:  1447-0756     ISO Abbreviation:  J. Obstet. Gynaecol. Res.     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-07     Completed Date:  2011-10-28     Revised Date:  2012-01-19    
Medline Journal Info:
Nlm Unique ID:  9612761     Medline TA:  J Obstet Gynaecol Res     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  222-7     Citation Subset:  IM    
Copyright Information:
© 2010 The Authors. Journal of Obstetrics and Gynaecology Research © 2010 Japan Society of Obstetrics and Gynecology.
Affiliation:
Department of Obstetrics and Gynecology, Institute of Post Graduate Medical Education and Research, Kolkata, India. drdebasmitamondal@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cardiomyopathies / complications*,  epidemiology,  physiopathology
Female
Humans
Infant, Newborn
Parity
Peripartum Period*
Pregnancy
Pregnancy Complications, Cardiovascular* / epidemiology,  mortality,  physiopathology
Pregnancy Outcome*

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


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