DOI: 10.36347/sjams.2022.v10i07.020

Pages: 1161-1167

Background: Pregnancy with normal heart has got enough reserve power so that the extra load can be well tolerated. While a damaged heart with good reserve can even withstand the strain, but if the reserve is poor, cardiac failure occurs sooner or later which may result in both maternal and neonatal morbidity and even mortality can occur. Methods: Current cross sectional study is conducted in Obstetric and Gynae department of Dhaka Medical College Hospital to assess the Clinical presentation, management and outcome of pregnancy among pregnant women with heart disease. A total of fifty pregnant women with various grade of cardiac problem were included in the study. Results: Majority of pregnant mother with heart disease availed ANC and were using contraceptive methods. Among them barrier methods were most preferred. Most of the mothers had previous history of rheumatic disease and took medical treatment and few of them took surgical treatment too. Heart failure were developed in around one fourth of the mothers with heart disease around half (45%) developed heart failure in course of current pregnancy, around one third (37%) had it before pregnancy and 8% had it since previous pregnancy. Regarding pattern of presentation 32% had peripheral oedema, 2.0% had generalized oedema, 20% had lung oedema, 4.7% had cyanosis and 12.8% had engorged neck-vein. Among the mothers 76% consulted cardiologists before delivery. More than half (51.1%) the mother had LUCS and 23.4% had NVD. During the peri natal period 15.0 % had pre-eclampsia and 7.0 % had post-partum haemorrhage. Around 36% of the mothers were referred to cardiology, 6% were immediately transferred to Cardiology and 6% died. Regarding foetal outcome, 9.5% had IUGR, 7.1% % died during gestation and 4.8 % died after delivery. Conclusion: Heart disease in pregnancy Is a grave condition may result in severe maternal and foetal complication and result in adverse outcome of pregnancy like fetal loss.