Maternal and fetal outcome among pregnant women following open heart surgery

  • Redoy Ranjan Department of Cardiac Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka 1000
  • Nargis Akhter Department of Cardiac Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka 1000
  • Asit Baran Adhikary Department of Cardiac Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka 1000
  • Md. Aftab Uddin Department of Cardiac Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka 1000
Keywords: Fetal outcome, Maternal outcome, Open heart surgery, Pregnant woman

Abstract

The aim of this retrospective cohort study was to evaluate the pregnancy outcome following open heart surgery for three years. Group I (n = 37) included pregnancy with history of intracardiac repair except valvular heart disease, while Group II (n = 19) included pregnancy with prosthetic valve received anticoagulation therapy. In total, 78.6% pregnancies ended in healthy live births, and 19.6% pregnancies terminated in abortion (8.1% patients in Group I and 42.1% patients in Group II). 5.3% baby was born with congenital malformation in Group II. Mean birth weight was found 2.8 ± 0.6 kg in Group I and 2.5 ± 0.3 kg in Group II. The mean APGAR score was found 8.5 ± 0.7 in Group I and 8.1 ± 0.7 in Group II. 19.6% patients developed cardiac complications during the pregnancy. Majority of the patients (89.2% in Group I and 63.2% in Group II) was found good health status. Proper antenatal care and early risk stratification are the fundamental measures to improve the maternal and fetal outcome in a patient of open heart surgery.

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Author Biographies

Redoy Ranjan, Department of Cardiac Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka 1000

Medical officer 

Tel. +8801717556046

Asit Baran Adhikary, Department of Cardiac Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka 1000
Professor
Md. Aftab Uddin, Department of Cardiac Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka 1000
Professor
Published
2017-05-23
How to Cite
Ranjan, R., Akhter, N., Adhikary, A., & Uddin, M. (2017). Maternal and fetal outcome among pregnant women following open heart surgery. Bangabandhu Sheikh Mujib Medical University Journal, 10(2), 84-88. https://doi.org/10.3329/bsmmuj.v10i2.32481
Section
Original Articles