Abstract
With improved technology and better access to health care, the number of pregnant women with heart diseases is increasing. Due to various
physiological changes in pregnancy, women with heart diseases are at increased risk of both maternal and fetal complications. Thus, pregnancy
with heart disease is considered a high-risk pregnancy. In the near future, the burden on the healthcare system will increase and we will be required
to answer various questions about the different outcomes possible and their management. If women are made aware of the various risks associated
with their pregnancies, they can make informed life choices. This can only be achieved if more objective data is offered to her [1]. In this article,
we review the available data on the observed perinatal outcomes in mothers with heart disease, their management, and what lacunas need to be
filled, so as to be able to provide better care. Relevant articles were referred and data was summed. We concluded that in the majority of studies,
the odds for adverse neonatal outcomes like preterm birth, low birth weight, stillbirth, low Apgar score and admissions to neonatal intensive care
unit were higher among pregnant women with heart disease as compared to women with no heart disease.
[2]
Regitz-zagrosek V, et al. 2018 ESC guidelines for the management of cardiovascular diseases during pregnancy. Kardiol Pol 2019; 77: 245-326.
[5]
Opotowsky AR, Siddiqi OK, webb GD. Trends in hospitalizations for adults with congenital heart disease in the U.S. J Am Coll Cardiol 2009; 54: 460-7.
[11]
Wolfe DS, Hameed AB, Taub CC, Zaidi AN, Bortnick AE. Addressing maternal mortality: the pregnant cardiac patient. Am J Obstetrics Gynecol 2019; 220(2): 167e1-8.
[16]
Iftikhar SF, Biswas M. Cardiac disease in pregnancy. In: StatPearls. Treasure Island (FL): StatPearls Publishing 2022.
[30]
Siu SC, Colman JM, Sorensen S, Smallhorn SF, Amankwah KS, et al. Adverse neonatal and cardiac outcomes are more common in pregnant women with cardiac disease. Circulation 2002; 105: 2179-84.
[38]
Regitz-zagrosek V, Roos-hesselink JW, Bauersachs J, et al. 2018 ESC guidelines for the management of cardiovascular diseases during pregnancy. Eur heart j 2018; 39: 3165-241.
[42]
Makgato C, Baloyi S, Nondabula T. Profile of cardiac patients who delivered at Universitas Academic Hospital (UAH) in Bloemfontein South Africa: 2012-2017. Obstetr Gynaecol Forum 2020; 30(2): 1-10.
[43]
Paudyal P, Rawal S. Fate of pregnancy in women with rheumatic heart disease attending a tertiary referral centres. JNDA 2017; 7(2): 24-8.
[45]
Bashir H. Fetomaternal outcome in mild to moderate mitral stenosis. Pak J Med Health Sci 2016; 10(4): 1348-52.
[49]
Fathy FT, Gonied AS, Mohammed NS. Maternal and neonatal outcome in women with cardiac diseases and suggested nursing guidelines. J Nurs Health Sci 2018; 7(2): 80-91.
[51]
Pieper PG, Balci A, Aarnoudse JG, et al. Investigators zi. Uteroplacental blood flow, cardiac function, and pregnancy outcome in women with congenital heart disease. Circulation 2013; 128: 2478-8.