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Article Type

Original Study

Abstract

Objective: The aim of this study was to assess the spectrum of pregnancy with heart diseases in Menoufia governorate. Background: Heart diseases during pregnancy are the leading indirect cause of maternal death worldwide.Although the incidence of cardiac abnormalities during pregnancy has remained more or less unchanged, the relative contribution of the different causes of heart disease preceding or diagnosed during pregnancy varies with study population and study period. Patients and methods: This is a cross-sectional study of pregnant women with heart disease who underwent delivery between January 2012 and January 2013 at University Hospital and Shebin El Kom Teaching Hospital (Menoufia, Egypt). Maternal and fetal outcome and complications were evaluated for each patient. Results: The overall prevalence of pregnant women with heart disease was 9.3%. Hypertensive disorders during pregnancy were the most common cardiac disease diagnosed in our study (83%); native and prosthetic valvular heart diseases were present in 10 and 1.1%, respectively, whereas cardiomyopathy and congenital heart disease were present in 5.7 and 0.2%, respectively. The most prevalent maternal complication was bleeding (4.8%). Most women had spontaneous vaginal deliveries (57.4%), although 42.6% of women underwent cesarean sections. The most prevalent neonatal complications were premature birth (1.5%), babies requiring incubator support or on mechanical ventilation (7.8%), and fetal mortality (1.7%). Conclusion: Women of child-bearing age who are at risk for, or already have, cardiovascular disease should receive early counseling and treatment not only from their family physician but also from an interdisciplinary team comprising gynecologists, cardiologists, and, if necessary, cardiac surgeons.

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