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KMID : 0361720070180040338
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Korean Journal of perinatology
2007 Volume.18 No. 4 p.338 ~ p.344
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A Clinical Study of Maternal Heart Disease in Pregnancy
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Kim A-Ri
Park Byung-Joon
Seo Mi-Won
Kim Ok-Kyoung
Kim Soo-Pyung
Shin Jong-Chul
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Abstract
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Objective : To assess the pregnancy outcomes complicated by maternal heart diseases.
Methods : From 1995 to 2006, medical records of pregnant women who had got full antenatal care at Kangnam St. Mary’s Hospital and Our Lady of Mercy Hospital with maternal heart diseases were reviewed.
Results : Forty one deliveries of 39 women were enrolled in this study. 11 (26.7%) cases of the heart diseases had rheumatic origin, 22 (53.7%) cases had arrhythmic disease, 3 (7.3%) cases had congenital heart disease, and the remaining 5 (12.3%) cases were miscellaneous group that included ischemic heart disease and congestive heart failure. There were 4 (9.8%) cases of pulmonary edema as maternal complication during pregnancy. One case was twin pregnancy. All of them were in New York Heart Association (NYHA) functional classes I, Ⅱ before, during, and after delivery. Mean gestational age at birth and birth weight were 38.6 weeks and 3157 gm respectively. Neonatal congenital heart disease was shown in only one case with tetralogy of Falot and other fetal anomaly was multicystic dysplastic kidney.
Conclusion : Our results indicate that successful pregnancy outcome in patients with maternal heart disease would be possible in NYHA functional classes of I and II without increased risk of complications.
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KEYWORD
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Maternal heart disease, Arrhythmia, Pregnancy outcome
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