Assessment of outcomes of heart diseases in pregnancy: A cross sectional study in tertiary healthcare teaching institute in metropolitan city

World is still facing heart diseases in pregnancy as a major problem, particularly in poor countries. Although the reported incidence varies between 0.1 and 4%, 1–3 cardiac disease remains a significant cause of maternal death worldwide. Cardiac disease in the pregnant patient can present challenges in cardiovascular and maternal-fetal management.in normal patients, pregnancy imposes some dramatic physiologic changes.

This observational study was conducted in the department of obstetrics and gynecology of M.G.M healthcare institute, Kalamboli, Maharashtra, India. This study includes total of 8 pregnant women, both referred and registered cases with history of cardiac disease were admitted in obstetric ward from January 2016 to September 2016.

75% of our study cases were between the age group of 20 years to 25 years, whereas 25% cases presented between the age group of 26 years to 30 years. This study reports the most common lesion as RHD with mitral stenosis. 38% of the patients from our study had Rheumatic heart disease and most of the patients had more than one lesion.

According to present study, the cardiac disease appears to be a risk factor for maternal and neonatal morbidity and mortality. Rheumatic heart disease was observed to be the predominant lesion in our case series.

Heart disease in pregnancy is a high risk condition. It is a major determinant of pregnancy and its outcome.