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Pregnancy following cardiac surgery
1Department of Obstetrics and Gynaecology, Jinnah Postgraduate Medical Center, Karachi.
JPMA. the Journal of the Pakistan Medical Association
|November 19, 2003
Summary
Pregnancy after cardiac surgery is favorable for women with good functional capacity. This study found no maternal deaths and no fetal malformations with coumarin derivatives, highlighting positive outcomes with proper care.
Area of Science:
- Cardiology
- Obstetrics
- Cardiac Surgery
Background:
- Cardiac disease in pregnancy poses risks.
- Cardiac surgery during pregnancy requires careful management.
- Understanding pregnancy outcomes after cardiac surgery is crucial.
Purpose of the Study:
- To evaluate pregnancy outcomes in women with cardiac disease who underwent cardiac surgery.
- To identify risks and complications associated with pregnancy post-cardiac surgery.
Main Methods:
- Prospective study conducted in a tertiary care hospital.
- Followed 113 pregnant women with cardiac surgery (valvular disease, other defects) over 170 pregnancies (1990-1999).
Main Results:
- Rheumatic heart disease was the most common indication for surgery (91%).
- No maternal deaths occurred; morbidity included pulmonary edema (16%) and arrhythmias (4%).
- Abortion rate was 10.6%; 6.7% preterm births and 28% low birth weight infants; no neonatal deaths. Coumarin derivatives showed no association with fetal malformations.
Conclusions:
- Pregnancy outcomes are favorable for women with cardiac surgery, provided they have good functional capacity.
- Appropriate medical and surgical care is essential for successful pregnancy outcomes.