title: Outcome of pregnancy in patients with congenital heart diseases.
abstract: This prospective study was conducted to evaluate the outcome of pregnancies in women with congenital heart diseases. In this study 50 pregnant women age between 20-45 years with congenital heart diseases were included. Twenty two (44%) were presented with atrial septal defect, 12(24%) with ventricular septal defect, 5(10%) were with patent ductus arteriosus, 6(12%) with Fallot's tetralogy, 2(4%) with pulmonary stenosis, 2(4%) with Eisenmenger syndrome, 1(2%) with dextrocardia. Shortness of breath (60%) was the main presenting complaint. Normal vaginal delivery (52%) was done in majority of cases. Spontaneous abortion occurred in 16% of pregnancies. Major complications were heart failure 16%, arrhythmias 21%, cardiovascular mortality 4%, preeclampsia 4%, and eclampsia 2%. Premature birth 16%, fetal demise 4%, neonatal death 2% and cardiac anomaly at birth 2% were also observed. The outcome of pregnancy in women with congenital heart diseases is favourable with considerable maternal and neonatal complications.
authors.affiliation: Department of Gynae and Obstetrics, Bangabandhu Sheikh Mujib Medical University, Shahbagh, Dhaka.
authors.forename: N
authors.initials: N
authors.lastname: Akhter
authors.forename: F
authors.initials: F
authors.lastname: Rahman
authors.forename: M
authors.initials: M
authors.lastname: Salman
authors.forename: K
authors.initials: K
authors.lastname: Anam
authors.forename: S K
authors.initials: SK
authors.lastname: Banerjee
authors.forename: S A
authors.initials: SA
authors.lastname: Amin
authors.forename: S
authors.initials: S
authors.lastname: Jahan
authors.forename: Z
authors.initials: Z
authors.lastname: Hasen
authors.forename: M M
authors.initials: MM
authors.lastname: Rahman
authors.forename: M J
authors.initials: MJ
authors.lastname: Uddin
authors.forename: M A
authors.initials: MA
authors.lastname: Rashid
authors.forename: M G
authors.initials: MG
authors.lastname: Hafiz
authors.forename: M M
authors.initials: MM
authors.lastname: Khalil
mesh_terms: D000328:Adult; D005260:Female; D006330:Heart Defects, Congenital / Q000150:complications*; D006801:Humans; D008875:Middle Aged; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D011256:Pregnancy Outcome; D011446:Prospective Studies