Title: Cardiac disease and pregnancy a case series of 30 patients
Authors: Douzi Najoua,Erraghay Sanaa,Bouchikhi Chahrazad,Banani Abdelaziz
Volume: 8
Issue: 8
Pages: 42-47
Publication Date: 2024/08/28
Abstract:
Cardiac disease, complicats approximately 1 to 4% of pregnancy [1], and represents the main cause of maternal death of non obstetric origin. Our study's objective was to evaluate the particularity of the management of cardiac diseas during pregnancy, to analysed the maternal, obstetric and featl outcomes of pregnant women according to the type of heart disease.A retrospective study was carried out in the department of G.O I at University Hospital Hassan II, Fez including 30 cases of cardiac diseas during pregnancy in a period of 6 years extending from january 2016 to december 2021.The mean age of patients was around 31 years. 70% of them was multiparous, 13% have a history of rheumatic fever, 6% of chronic hypertention and 3% of hyperthyroidism.Rhematic valvular heart disease was the most common lesion observed in 53% of cases. Conginital heart diseas was occuring in 20% of cases.Preexsting cardiac diseas was observed in 60% of cases against 40% of cases revealed during pregnancy. 16,6% of cases has been treated by surgery or interventional cardiology. Cesarien delivery has been performed in 56% of cases. The incidence of maternal mortality and morbidity were 3% and 13% respectively. As the fetal prognosis, premature delivery was indicated in 13,2% of cases. Optimal management of the pregnant cardiac patient relies on multidisciplinary care including cardiologist, obstetrician, cardiothoracic surgeon, anesthetist, neonatologist and pediatric cardiologist.