Aka N, Arpacι S, Vural F, Köse G
Clin Exp Obstet Gynecol. 2016;43(4):560-564.
To explore the perinatal and neonatal outcomes of patients with heart diseases. Materials Methods: Retrospective case control analysis was carried out among 10,527 deliveries, 188 pregnancies complicated by cardiovascular disease (CVD) compared with pregnancies without CVD for obstetric outcomes from January 2000 to December 2012. The effect of cardiac functional classification (NHYA) on maternal and neonatal complications was explored.
The incidence of CVD in pregnancy was 1.78%. About 80.3% had rheumatic heart disease (RHD). Maternal and neonatal mortality rate was 1.06% and 2.13 %, respectively. The obstetric outcomes of women in NHYA class I/II were similar to normal group. Vaginal delivery was the preferred way of birth unless deterioration of cardiac functions as in the cases of NHYA class III/IV. NHYA class III/IV had significantly decreased birth weight, premature birth, and increased maternal-neonatal mortality (p < 0.05).
RHD is still prevalent. The cardiac functional capacity predicts maternal and neonatal outcomes.
探讨心脏病患者的围产期及新生儿结局。材料与方法：对2000年1月至2012年12月期间的10527例分娩进行回顾性病例对照分析，将188例合并心血管疾病（CVD）的妊娠与未合并CVD的妊娠进行产科结局比较。探讨心功能分级（纽约心脏协会分级，NYHA）对母婴并发症的影响。
妊娠合并CVD的发生率为1.78%。约80.3%患有风湿性心脏病（RHD）。孕产妇和新生儿死亡率分别为1.06%和2.13%。NYHA I/II级女性的产科结局与正常组相似。除非心功能恶化（如NYHA III/IV级病例），阴道分娩是首选的分娩方式。NYHA III/IV级的出生体重显著降低、早产增加，母婴死亡率升高（p<0.05）。
RHD仍然普遍存在。心功能状态可预测母婴结局。
