Background: Maternal heart disease is a leading cause of
indirect maternal mortality worldwide similarly in Malaysia with substantially
increment in heart disease related. Due to enhanced childhood survival rates,
an increasing number of women with congenital heart disease are entering their
reproductive years, contributing to an expanding high-risk obstetric group.
Aim: To assess the obstetrical and neonatal outcomes among
women with maternal heart disease, encompassing both acquired cardiovascular
conditions and congenital heart disease.
Materials and Methods: This retrospective cross-sectional
study involved pregnant women with heart disease at Hospital Serdang from 2014
to 2018. Maternal sociodemographic information, maternal outcomes, and neonatal
outcomes were gathered using a proforma from the hospital registry. Data
analysis was conducted using SPSS version 25.0.
Results: A total of 255 cases of heart disease in pregnancy
were collected, with 183 (72%) cases being acquired heart diseases and 72 (28%)
cases being congenital heart diseases. A significant correlation was noted
between the presence of additional medical comorbidities in expectant mothers,
the birth weight of infants, and neonatal admission to the intensive care unit
in relation to the type of heart disease in pregnancy.
Conclusion: There is a substantial increase in adverse
perinatal outcomes. In a rapidly developing country, enhancing the management
of pregnant women with heart disease is crucial. This involves improving
resources, establishing quality cardiac care facilities, and adopting a
collaborative multi-disciplinary team approach. Early cardiac surgical
intervention may be beneficial for severe cases, and pre-pregnancy counselling
is advised to prevent pregnancy in women with complex diseases, emphasizing the
importance of effective contraception for better maternal and neonatal
outcomes.
Author(s) Details:
Habibah Abdul Hamid,
Obstetrics & Gynaecology Department, Faculty of Medicine and
Health Science, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.
Karthini
Paramasivam,
Obstetrics
& Gynaecology Department, Faculty of Medicine and Health Science,
Universiti Putra Malaysia, Serdang, Selangor, Malaysia.
Ameerah Izzati Mohamad Hamsan,
Obstetrics & Gynaecology Department, Faculty of Medicine and Health
Science, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.
Zulida Rejali,
Obstetrics & Gynaecology Department, Faculty of Medicine and
Health Science, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.
Please see the link here: https://stm.bookpi.org/RUDHR-V5/article/view/14026
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