Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
The purpose of this study is to identify risk variables that predict complications, identify early detection of pregnancy‐related diseases and provide appropriate care of complications. Along with careful fetomaternal surveillance in the prepartum, intrapartum, and postpartum phases, it also entails prompt intervention when necessary to allow women with heart disease to experience a normal pregnancy and labour result. During the research period, which ran from August 2022 to June 2024, this study provided information on the overall frequency of cardiac illness in pregnancy, maternal and newborn mortality, the mode of delivery and its impact on the patients' outcomes and the length of hospital stay overall. Due to the fact that M.K.C.G. Medical College and Hospital is a premier referral facility with a specialised and well‐organised Cardiology Department, the result for pregnant patients with heart disease at this facility is superior to any nearby hospital. This investigation looked at 64 women with various heart conditions who were admitted to MKCG MCH, BERHAMPUR either emergency room visits or out‐of‐hours admissions between August 2022 and June 2024 (2024). Also not included in the research were any women who were surviving other illnesses including molar pregnancy and ectopic pregnancy. Assessing the patients' age, parity and socioeconomic position required the researcher to do appropriate clinical tests, such as cardiovascular evaluations. Every patient's medical history is examined by the researcher to see whether any of them have a family history of heart disease, a history of menstruation, or a history of prior heart illness. The research primarily focusses on individuals with pregnancy‐related cardiac disease who are in the puerperium or have the ailment at a gestational age of more than 28 weeks. Additionally, individuals with peripartum cardiomyopathy‐generally defined as those who experience heart failure in the last month of their pregnancy or within five months after giving birth‐are also included in the research. Analysing the different traits, treatments and results of these pregnant heart disease patients is the primary goal of the current study. In order to provide the ladies with care during their pregnancies, the researcher collaborated with the cardiologists. Cardiologists provide routine checks on women's hearts and, if necessary, admit them to the hospital. Additionally, they provided them with medication and other therapy that was necessary for them to regain their health. We may infer that a multidisciplinary strategy is required to minimise maternal morbidity, mortality and perinatal morbidity throughout pregnancy and labour. Professionals such as obstetricians, cardiologists, anaesthesiologists, and paediatricians are part of these multidisciplinary teams. Patients should be urged to have surgery at this time if they require it for heart‐related conditions. MTP, however, needs to be limited for the first several months only and its usage should be determined by the complexity. Additionally, it can be concluded that vaginal delivery is a perfectly safe delivery method for women with heart disorders., thus, caesarean sections should only be suggested in cases of obstetric reasons. Patients with NYHA class I or II have a better prognosis, but those with more functional difficulties because indicates a higher risk of cardiovascular problems as complications in classes III and IV.
How to cite this article:
Rahul Prusty, Anuradha Mishra, Jyoti Ranjan Behera, Sobhan Kumar Padhi and Sanghamitra Mahapatra. Fetomaternal Outcome of Pregnancy with Heart Disease.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.12.18
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.12.18