Dr. Lalit D. Kapadia, Dr. Pooja Thummar


BACKGROUND:  Heart disease is most important cause of maternal mortality. Problems may arise due to hemodynamic burden and the hypercoagulable state of pregnancy. Identifying women at high risk is an important aspect of care for women with Heart disease.

MATERIAL AND METHOD:  This prospective study is an analysis of maternal and fetal outcome in cases of cardiac disease in pregnancy was carried out in department of obstetrics and gynecology in civil hospital, Ahmedabad.

RESULTS: The prevalence of Heart Disease in present study is 0.67% which is more common in child bearing age. RHD is still a major group of heart disease in pregnancy among which mitral valve disease is the commonest. With Increase in severity of NYHA grade there is increase of chances of maternal morbidity and mortality. Preterm labor is common in patients with cardiac diseases.

CONCLUSION: Educating the community about the cardiac disease and its complications, need for early detection of cardiac lesion, close monitoring during antenatal period, intrapartum period and postpartum care play a vital role in achieving good feto–maternal outcome. Use of prophylactic antibiotics, anti failure treatment during labor may bring down the incidence of infective endocarditis and cardiac failure during antenatal as well as puerperal period.






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