[Preterm labor and IUGR rates in patients with cardiac anomalies in the material of the Pregnancy Pathology Unit at the Jagiellonian University OB/GYN Department between 1986-1999].
BACKGROUND
Advance in medicine in general caused more and more women with cardiac defects reach reproductive age.


OBJECTIVE
Analysis of kind and advance of cardiac disease influence on preterm labour and IUGR rates.


METHODS
A prospective study on 232 pregnant patients with cardiac malformations, who were hospitalised in Pathology of Pregnancy Unit of OB./ GYN Jagiellonian University Clinic was performed between 1986-1999. Acquired data were compared with results obtained from control group of 424 pregnant patients with physiological course of pregnancy.


RESULTS
Results prove of shorter pregnancy duration in patients with higher NYHA classes. Preterm labour rate in patients of NYHA III and IV equals to 31.15% and is 3 times higher than in control group. Patients of NYHA I and II revealed comparable gestational age with control group.


CONCLUSIONS
Worse obstetric outcome is characteristic for 3rd and 4th NYHA classes. Intrauterine growth retardation in patients with cardiac malformations occurs after 34 week of pregnancy.
Chałupczak
Piotr
P
Klinika Ginekologii i Niepłodności, Collegium Medium, Uniwersytetu Jagiellońskiego w Krakowie. gyninf@mp.pl
Kołodziejski
Lech
L
Wolak
Jerzy
J
Wiecheć
Marcin
M
D016022:Case-Control Studies; D005260:Female; D005317:Fetal Growth Retardation / Q000150:complications*; D006331:Heart Diseases / Q000150:complications*; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D011256:Pregnancy Outcome; D018566:Pregnancy, High-Risk; D047928:Premature Birth / Q000503:physiopathology*; D011446:Prospective Studies; D012189:Retrospective Studies; D012307:Risk Factors