Acta Scientific Women's Health

Research Article Volume 2 Issue 1

Pregnancy Outcomes of Maternal Heart Disease: A Cosmopolitan Experience

Husam Salama*, Hilal Al Rifai, Sawsan Al-Obaidly, Mai Al Qubasi, Mayra Batool

Women’s Wellness and Research Center, Hamad Medical Corporation, Doha, Qatar

*Corresponding Author: Husam Salama, Women’s Wellness and Research Center, Hamad Medical Corporation, Doha, Qatar.

Received: July 30, 2019; Published: December 06, 2019

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Abstract

Objectives: To study neonatal outcomes of mothers with established congenital and acquired heart diseases.

Methods: A retrospective review of data from the PEARL maternal and neonatal registry was conducted. The PEARL database includes and enumerates mothers with diagnosed heart disease and their babies.

Results: Out of a total population of 41,000 mothers, 195 mothers with established congenital and acquired heart disease gave birth to 200 babies, accounting for 5 occasions of twins, but no occasions of three or more births. There was no significant difference in terms of disease outcomes; 65.6% of women in the sample size suffered from acquired heart disease, whereas 34.4% carried a diagnosis of a congenital cardiac disorder at the time of delivery. The local Qatari population made up 41% of the mothers while 59% were expatriates, comprising mainly Indian subcontinent and Arab population. Results across both groups were comparable, with no difference in terms of maternal or neonatal outcomes. The vast majority of babies were delivered in good condition, with an average birth weight of 3.1kg. Length of hospital stay was 3.5 days± 1.5 and Apgar score was 9 ±1 at five minutes of age. However, one baby died in the NICU due to congenital anomalies. Rate of stillborn was 2.5%.

Conclusions: Contrary to what is reported in the literature, our data indicate that maternal heart disease confers similar risk of adverse neonatal outcomes of NICU admissions, length of hospital stay, and pre-term delivery, whether congenital or acquired. The outcome was favorable in both types of heart diseases. There was no difference between local and expatriate populations in terms of disease severity or pathology. The neonatal outcomes were also similar, indicating that the level of care rendered at a tertiary care center was comparable across both groups.

KeywordsHeart; Maternal; Neonatal; Outcome

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References

  1. Cantwell R., et al. “Saving Mothers’ Lives: reviewing maternal deaths to make motherhood safer: 2006-2008. The eighth report of the confidential enquiries into maternal deaths in the United Kingdom”. BJOG 118 (2011): 1-203.
  2. Centers for Disease Control and Prevention. Pregnancy mortality surveillance system—maternal and infant health—reproductive health (2015).
  3. Berg CJ., et al. “Pregnancy‐related mortality in the United States, 1998 to 2005”. Obstetrics and Gynecology 116 (2010): 1302-1309.
  4. Opotowsky AR., et al. “Trends in hospitalizations for adults with congenital heart disease in the U.S”. Journal of the American College of Cardiology 54 (2009): 460-467.
  5. EURO‐PERISTAT. “European perinatal health report”. Scpe Eurocat Euroneostat (2008).
  6. Lima FV., et al. “National trends and in‐hospital outcomes in pregnant women with heart disease in the United States”. The American Journal of Cardiology 119 (2017): 1694-1700.
  7. Sliwa K and Bohm M. “Incidence and prevalence of pregnancy‐related heart disease”. Cardiovascular Research 101 (2014): 554-560.
  8. Lima FV., et al. “Association of cardiomyopathy with adverse cardiac events in pregnant women at the time of delivery”. JACC Heart Fail 3 (2015): 257-266.
  9. Koutrolou‐Sotiropoulou P., et al. “Impact of heart disease on maternal and fetal outcomes in pregnant women”. The American Journal of Cardiology 116 (2015): 474-480.
  10. Lima FV., et al. “Clinical characteristics and outcomes in pregnant women with Ebstein anomaly at the time of delivery in the USA: 2003-2012”. Archives of Cardiovascular Diseases 109 (2016): 390-398.
  11. Siu SC., et al. “Prospective multicenter study of pregnancy outcomes in women with heart disease”. Circulation 104 (2001): 515-521.
  12. Puri S., et al. “Maternal heart disease and pregnancy outcomes”. JK Science 15 (2013): 7-10.
  13. Bangal VB., et al. “Clinical study of heart disease complicating pregnancy”. IOSR 2 (2012): 25-8.
  14. Mazhar SB. “Fetomaternal outcome in pregnancy with cardiac disease”. JCPSP 8 (1955): 476-470.
  15. Pratibha D., et al. “Pregnancy outcome in chronic rheumatic heart disease”. The Journal of Obstetrics and Gynecology of India 59 (1959): 41-46.
  16. Amanda Owens., et al. “Neonatal and Maternal Outcomes in Pregnant Women with Cardiac Disease”. Journal of the American Heart Association 7 (2018).
  17. Kaylee Ramage., et al. “Association of Adult Congenital Heart Disease with Pregnancy, Maternal, and Neonatal Outcomes”. JAMA Network Open 2 (2019).
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Citation

Citation: Husam Salama., et al. "Pregnancy Outcomes of Maternal Heart Disease: A Cosmopolitan Experience".Acta Scientific Women's Health 2.1 (2020): 12-21.




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