Pregnancy Outcomes in Patients with Valvular Heart Disease

Q4 Medicine

Pakistan Journal of Medical & Health Sciences Pub Date : 2023-10-31 DOI:10.54393/pjhs.v4i10.1094

Hidayat Ullah, Muhammad Shafique Arshad, Zabih Ullah, Abdul Rehman, Muhammad Khalil, Nouman Khan

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Abstract

Valvular heart disorders (VHD) may affect both mother and fetus during pregnancy. This research examined pregnancy outcomes in valvular heart disease patients. Methods: This was a descriptive comparative study conducted at Department of Cardiology, PIMS, Islamabad, from April 10th to August 31st, 2023. The study consisted 318 females, 166 of them were healthy (control group) and 152 of them had valvular heart disease (study group). SPSS version 25 was used to analyze the data. Objectives: To evaluate the pregnancy outcomes of females with valvular heart disease presenting to tertiary care hospital. Results: Group-I contained 152 females with valvular heart disease and group-II had 166 healthy females. Group-I mean age was 20.2±4.8 years, whereas group-II mean age was 22.3±2.8 years (p>0.05). Stillbirths were greater in group-I 10(6.57%) and 2(1.20%) (p 0.001) than group-II. Mitral stenosis was the most common valvular lesion at 53.97% (82 patients). 18.42% (28 patients) had mitral regurgitation. The study group had 0.65% maternal mortality compared to 0% in the control group. 11 (7.23%) patients developed cardiac arrythmias in study group compared to 2 (1.20%) patients in control group. Conclusions: There is a high risk of pregnancy in pregnant females who has valvular heart disease is a and have higher probability of having fetomaternal complications.

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瓣膜性心脏病患者的妊娠结局

在怀孕期间，瓣膜性心脏疾病(VHD)可能会影响母亲和胎儿。本研究考察了瓣膜性心脏病患者的妊娠结局。方法:这是一项描述性比较研究，于2023年4月10日至8月31日在伊斯兰堡PIMS心内科进行。研究对象为318名女性，其中166名健康(对照组)，152名患有瓣膜性心脏病(研究组)。采用SPSS version 25对数据进行分析。目的:评价在三级医院就诊的女性瓣膜性心脏病患者的妊娠结局。结果:ⅰ组有瓣膜性心脏病女性152例，ⅱ组健康女性166例。i组平均年龄20.2±4.8岁，ii组平均年龄22.3±2.8岁(p < 0.05)。i组死产10例(6.57%)和2例(1.20%)(p 0.001)高于ii组。二尖瓣狭窄是最常见的瓣膜病变，占53.97%(82例)。18.42%(28例)发生二尖瓣返流。研究组的产妇死亡率为0.65%，而对照组为0%。研究组发生心律失常11例(7.23%)，对照组2例(1.20%)。结论:有瓣膜性心脏病的孕妇妊娠风险高，发生胎母并发症的可能性高。

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来源期刊

Pakistan Journal of Medical & Health Sciences MEDICINE, GENERAL & INTERNAL-

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期刊介绍： Pakistan Journal of Medical and Health Sciences is an international biomedical journal from Pakistan. We publish materials of interest to the practitioners and scientists in the broad field of medicine. Articles describing original qualitative, quantitative, human/animal clinical or laboratory studies are considered for publication.