合并心脏病的妊娠产妇及围产期结局

Maternal and perinatal outcome of pregnancies complicated by cardiac disease.

作者信息

Abdel-Hady E-S, El-Shamy M, El-Rifai A-A, Goda H, Abdel-Samad A, Moussa S

机构信息

Department of Obstetrics and Gynecology, Mansoura University Teaching Hospital, Mansoura, Egypt.

出版信息

Int J Gynaecol Obstet. 2005 Jul;90(1):21-5. doi: 10.1016/j.ijgo.2005.03.008.

DOI:10.1016/j.ijgo.2005.03.008

PMID:15913623

Abstract

OBJECTIVE

The aim of this study was to assess the maternal and perinatal outcome of pregnancies complicated by cardiac disease in a tertiary care center in Egypt.

METHODS

During a 1-year period, a total of 86 pregnant women with cardiac disease were admitted. Maternal and perinatal morbidity and mortality were calculated and compared with a control group.

RESULTS

Seventy-seven (89.5%) patients were due to rheumatic affection, and 60 patients were classified as NYHA classes I-II. There was one case of maternal mortality (1.16%), and 10 other cases developed life-threatening complications. Two perinatal mortalities (2.32%) occurred in this series. Birth weight of babies born to mothers with functional classes III and IV were significantly lower than those of functional classes I-II and control group.

CONCLUSION

Rheumatic heart disease with pregnancy is still predominant in Egypt. Maternal and perinatal morbidity and mortality are strongly correlated to maternal cardiac functional classification.

摘要

目的

本研究旨在评估埃及一家三级医疗中心患有心脏病的孕妇的孕产妇及围产期结局。

方法

在为期1年的时间里，共收治了86例患有心脏病的孕妇。计算孕产妇及围产期发病率和死亡率，并与对照组进行比较。

结果

77例（89.5%）患者因风湿性疾病所致，60例患者被归类为纽约心脏协会（NYHA）心功能I-II级。有1例孕产妇死亡（1.16%），另有10例出现危及生命的并发症。本系列中有2例围产期死亡（2.32%）。心功能III级和IV级的母亲所生婴儿的出生体重显著低于心功能I-II级的母亲及对照组所生婴儿。