1Department of Obstetrics and Gynecology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India,
2Department Mathematics and Statistics, Faculty of Science and Agriculture, The University of The West Indies, Trinidad and Tobago
CHD now constitutes nearly 80% of all cases of heart disease encountered during pregnancy in developed nations. This study was undertaken to assess the obstetric and fetal outcome in pregnant women with CHD. A total of 41 pregnant women with CHD were included in the study irrespective of gestational age and parity. The subjects were followed up for mode of delivery and fetal as well as maternal outcome. Majority of women were between 20 to 25 years of age [61%], were nulliparous (75%), had no history of abortion (80%) and most had no living children. Majority of the pregnancies were unbooked at the antenatal clinic of Safdarjang Hospital [53.7%]. A total of 32 [78%] pregnancies were completed successfully. The postpartum period was uneventful in 25 cases while there were concomitant medical disorder in 9 cases and 7 cases developed complications. The only factor that was significant (p-value=0.001) was birth weight amongst successful deliveries. In general, pregnancy was sufficiently well tolerated in women with milder forms of CHD.
congenital heart disease, maternal morbidity, fetal outcome
