Institute of Cardiology, Madras Medical College and Rajiv Gandhi Government General Hospital, Park Town, Chennai, 600002, India; The Tamil Nadu Dr MGR Medical University, Guindy, Chennai, 600032, India.
The Tamil Nadu Dr MGR Medical University, Guindy, Chennai, 600032, India; The Tamil Nadu Government Multi Super Speciality Hospital, Omandurar estate, Chennai, 600003, India.
Indian Heart J. 2024 Mar-Apr;76(2):71-78. doi: 10.1016/j.ihj.2024.03.003. Epub 2024 Mar 18.
Cardiovascular disease complicates 1-4% of pregnancies. Women with heart disease going through pregnancy are on the increase. While global maternal deaths during pregnancy are decreasing, India remains a significant contributor to maternal deaths in the world. Cardiovascular disease during pregnancy is the leading cause of maternal mortality in developed nations, and this trend is expected soon in India, with the ongoing obstetric transition. Research in developed nations indicates that a high proportion of maternal mortality related to heart disease is preventable. However, India lacks indigenous data, risk stratification tools, management guidelines, and a well-defined cardio-obstetric team concept for pregnant women with heart disease. There is a pressing need to establish national registries, develop risk stratification tools, develop and disseminate management guidelines, and create dedicated cardio-obstetric programs. This article provides a comprehensive overview of this requirement and offers solutions to bridge the existing gaps in India's maternal healthcare landscape.
心血管疾病在 1-4%的妊娠中并发。患有心脏病的女性在怀孕期间有所增加。虽然全球怀孕期间的孕产妇死亡人数正在减少，但印度仍然是全球孕产妇死亡的主要贡献者。在发达国家，怀孕期间的心血管疾病是孕产妇死亡的主要原因，随着正在进行的产科转型，这种趋势预计很快也会在印度出现。在发达国家的研究表明，与心脏病相关的孕产妇死亡中有很大一部分是可以预防的。然而，印度缺乏本土数据、风险分层工具、管理指南以及针对患有心脏病的孕妇的明确的心脏产科团队概念。因此，迫切需要建立国家登记处、开发风险分层工具、制定和传播管理指南，并创建专门的心脏产科项目。本文全面概述了这一需求，并提出了解决印度母婴保健领域现有差距的方案。
