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Pregnancy and valvular heart disease
Shakeel A Faiz1, Abdulaziz A Al-Meshari, Bengt G Sporrong
1Department of Obstetrics and Gynecologist, King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia. shakeel@ksu.edu.sa
Saudi Medical Journal
|October 28, 2003
Summary
Valvular heart disease in pregnancy did not affect pregnancy outcomes in this Saudi Arabian study. Effective management requires multidisciplinary collaboration for optimal maternal and infant health.
Area of Science:
- Cardiology
- Obstetrics
- Public Health
Background:
- Valvular heart disease (VHD) poses unique challenges during pregnancy.
- Understanding the incidence and impact of VHD in specific populations is crucial for maternal care.
Purpose of the Study:
- To determine the incidence, contributing factors, and pregnancy outcomes of VHD in a Saudi Arabian population.
- To analyze the types of VHD and their management during pregnancy.
Main Methods:
- Retrospective study of 33,200 pregnancies from 1993-1997 in Riyadh, Saudi Arabia.
- Analysis of 166 women with heart disease, focusing on the 76% diagnosed with VHD.
- Data collected and analyzed using Gold Stat Software Package.
Main Results:
- VHD incidence was 0.5% among pregnant women.
- Mitral valve involvement (prolapse, regurgitation, stenosis) was predominant (94.5% of single valve cases).
- No maternal or infant mortality was observed; all infants were healthy.
Conclusions:
- VHD did not negatively impact pregnancy outcomes in this cohort.
- Accurate diagnosis and management of VHD in pregnancy necessitate a deep understanding of cardiovascular changes.
- Successful management relies on comprehensive collaboration among obstetricians, cardiologists, and other healthcare professionals.