title: Maternal and perinatal outcome of pregnancies complicated by cardiac disease.
abstract: OBJECTIVE
  The aim of this study was to assess the maternal and perinatal outcome of pregnancies complicated by cardiac disease in a tertiary care center in Egypt.
  
  
  METHODS
  During a 1-year period, a total of 86 pregnant women with cardiac disease were admitted. Maternal and perinatal morbidity and mortality were calculated and compared with a control group.
  
  
  RESULTS
  Seventy-seven (89.5%) patients were due to rheumatic affection, and 60 patients were classified as NYHA classes I-II. There was one case of maternal mortality (1.16%), and 10 other cases developed life-threatening complications. Two perinatal mortalities (2.32%) occurred in this series. Birth weight of babies born to mothers with functional classes III and IV were significantly lower than those of functional classes I-II and control group.
  
  
  CONCLUSIONS
  Rheumatic heart disease with pregnancy is still predominant in Egypt. Maternal and perinatal morbidity and mortality are strongly correlated to maternal cardiac functional classification.
authors.affiliation: Department of Obstetrics and Gynecology, Mansoura University Teaching Hospital, Mansoura, Egypt. elsaidhady@yahoo.co.uk
authors.forename: E-S
authors.initials: ES
authors.lastname: Abdel-Hady
authors.forename: M
authors.initials: M
authors.lastname: El-Shamy
authors.forename: A-A
authors.initials: AA
authors.lastname: El-Rifai
authors.forename: H
authors.initials: H
authors.lastname: Goda
authors.forename: A
authors.initials: A
authors.lastname: Abdel-Samad
authors.forename: S
authors.initials: S
authors.lastname: Moussa
mesh_terms: D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D036861:Delivery, Obstetric / Q000706:statistics & numerical data; D004534:Egypt / Q000453:epidemiology; D005260:Female; D006331:Heart Diseases / Q000453:epidemiology* / Q000209:etiology / Q000401:mortality / Q000473:pathology; D006801:Humans; D007231:Infant, Newborn; D008499:Medical Records; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000453:epidemiology* / Q000209:etiology / Q000401:mortality / Q000473:pathology; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D012214:Rheumatic Heart Disease / Q000453:epidemiology / Q000209:etiology / Q000401:mortality / Q000473:pathology; D012720:Severity of Illness Index