Aydin Emine, Ozyuncu Ozgur, Kasapoglu Dila, Orgul Gokcen, Ozer Necla, Yurdakok Murat, Beksac M Sinan
Hacettepe University Faculty of Medicine, Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, 06100, Sıhhiye, Ankara, Turkey, Phone: +90 312 305 2477, Fax: +90 312 305 2315.
Hacettepe University, Faculty of Medicine, Department of Obstetrics and Gynecology, Division of Perinatology, Ankara, Turkey.
J Perinat Med. 2018 Apr 25;46(3):293-298. doi: 10.1515/jpm-2017-0023.
To evaluate the pregnancy outcomes of women with heart disease.
In this retrospective study, 383 pregnant women with cardiac diseases were examined. The cases were classified according to the World Health Organization (WHO) classification. The distribution of the cases according to class, congenital heart diseases, mean birthweight, mean gestational week at delivery, type of delivery [cesarean section (CS) or vaginal delivery], and cardivascular events (during pregnancy and puerperium) were evaluated.
Of the 383 patients, 25 were in Class I; 39, Class II; 255, Class II or III; 31, Class III; and 33, Class IV cardiac diseases. The neonatal birth weights were significantly lower in Class III than in Classes II, and II or III. The preterm delivery rate was higher in Class III than in the other classes. Delivery was performed by CS due to cardiac indications in the high-risk classes, however, only obstetric indications were considered in the low-risk classes. Only one case of maternal death occurred during the postpartum period, in a patient with Eisenmenger's syndrome.
Cardiovascular diseases are an important cause of mortality and morbidity in pregnancy. The adverse impact of cardiovascular disorders on pregnancy outcomes should be the main concern during the management of these women.
评估心脏病女性的妊娠结局。
在这项回顾性研究中，对383例患有心脏病的孕妇进行了检查。病例根据世界卫生组织（WHO）分类进行划分。评估了病例按分级、先天性心脏病、平均出生体重、平均分娩孕周、分娩方式[剖宫产（CS）或阴道分娩]以及心血管事件（孕期和产褥期）的分布情况。
383例患者中，25例为I级心脏病；39例为II级；255例为II或III级；31例为III级；33例为IV级心脏病。III级心脏病患者的新生儿出生体重显著低于II级以及II或III级患者。III级心脏病患者的早产率高于其他级别。高危组因心脏指征行剖宫产，而低危组仅考虑产科指征。产后仅1例艾森曼格综合征患者死亡。
心血管疾病是妊娠期间死亡和发病的重要原因。在管理这些女性时，心血管疾病对妊娠结局的不利影响应是主要关注点。
