title: [Characteristics of pregnancy and delivery in women with rheumatic heart valve disease].
abstract: During a six years period, we followed 55 pregnant women having rhumatismal valvulopathy. The prevalence of the association rhumatismal valvulopathy and pregnancy is about 44%. The RM represents the most frequent rhumatismal valvulopathy that is about 43.5%. Among our patients 5 represented a cardiac decompensation (9%). Our study resulted in:cesarean section rate: 23.6% 1 maternal death neonatal death rate 36%. 14.5% prematurity rate 9% hypotrophy rate.
  
  
  CONCLUSIONS
  The pregnancy of patients bearing the rhumatismal valvulopathy represents a high risk situation. The maternal death during and after pregnancy exist and can reach an average of 1%.
authors.affiliation: Service de Gynécologie Obstétrique CHU Mongi Slim-La Marsa, Tunisie.
authors.forename: Nizar
authors.initials: N
authors.lastname: Ben Aissia
authors.forename: Imed
authors.initials: I
authors.lastname: Essid
authors.lastname: Gara Med Faouzi
mesh_terms: D000328:Adult; D002585:Cesarean Section; D036861:Delivery, Obstetric; D005260:Female; D006333:Heart Failure / Q000503:physiopathology; D006349:Heart Valve Diseases / Q000503:physiopathology*; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D007234:Infant, Premature; D008946:Mitral Valve Stenosis / Q000503:physiopathology; D007744:Obstetric Labor Complications / Q000503:physiopathology*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000503:physiopathology*; D018566:Pregnancy, High-Risk / Q000502:physiology; D012214:Rheumatic Heart Disease / Q000503:physiopathology*