Sathyapriya, K (2022) The Spectrum of Heart Disease in Pregnancy and Its Outcome in Patients Visiting a Tertiary Care Centre: A Prospective Observational study. Masters thesis, K.A.P. Viswanatham Government Medical College, Tiruchirappalli.
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Abstract
Total 100 women were enrolled for the present study and maximum women were found in the age group of 26 to 30 years and 21 to 25 years each with 35 (35%). • The obstetric score of all 100 women was carried out and it was observed that 65 (65%) women were multi-gravida whereas only 35 (35%) were reported to be primi. • NYHA class, it was observed that maximum women were in class I category 52(52%), followed by class II 41 (41%) and minimum patients were reported in class III 3 (3%). • The maximum patients were observed with Rheumatic heart disease 55 (55%), followed by congenital heart disease 26 (26%) and least subjects2 (2%) were observed with a complete heart attack. • RHD lesion, it was found that maximum patients 21 (38.2%) were reported with MS/MR RHD lesion. • CHD, 69 (69%) patients were observed with ASD, followed by pulmonary valve stenosis and Bicuspid Aortic Valve Disease each with 4 (15.4%) patients. • In the present study 73 (73%) women were observed with normal vaginal delivery whereas 27 (17%) women were reported with caesarean delivery. • Of all 100 subjects, 49 (49%) were observed with Outlet forceps delivery, followed by emergency delivery with 20 (20%) subjects and natural delivery in 18 (18%) participants. • Maximum neonates 53 (53%) were observed in the range of 2.6 to 3 kg, followed by 2.1 to 2.5 kg in 40 (40%). • A good foetal outcome was observed in 74 (74%) followed by birth asphyxia was observed in 9 (9%) patients and Preterm in 7 (7%) patients. • 4(4%) neonates were observed with congenital heart disease. • 76 (76%) subjects with safe delivery followed by accidentally diagnosed heart disease during pregnancy in 14 (14%) patients and PPCM recovered in 12 (12%) patients. CONCLUSION: Rheumatic heart disease is the predominant lesion followed by congenital heart disease. The incidence of RHD for years has continued to be higher, as most of the patients belonged to low socioeconomic class where poverty, poor nutrition, low level of sanitation and hygiene and inaccessibility to health services are common. In pregnancies complicated with cardiac disorders, maternal and perinatal mortality and morbidity depends on the type of disorder, the functional status of the patient and the complications associated with the pregnancy. Hence multidisciplinary approach has been done with the obstetricians, cardiologists, anaesthetist and neonatologists and early diagnosis, treatment and proper follow up is done and mortality has been reduced.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 221916506 |
| Uncontrolled Keywords: | Spectrum, Heart Disease, Pregnancy, Outcome, Patients Visiting, Tertiary Care Centre. |
| Subjects: | MEDICAL > Obstetrics and Gynaecology > MEDICAL > Obstetrics and Gynaecology |
| Depositing User: | Subramani R |
| Date Deposited: | 08 May 2021 16:47 |
| Last Modified: | 10 Dec 2023 10:08 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/16242 |
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