Pregnancy outcome in women with an uncorrected single ventricle: A single-centre experience from South India.
Obstet Med
; 13(3): 137-141, 2020 Sep.
Article
em En
| MEDLINE
| ID: mdl-33093866
ABSTRACT
BACKGROUND:
Women with an uncorrected single ventricle heart are at increased risk of adverse maternal and perinatal outcomes.METHODS:
We report our experience of managing pregnant women with uncorrected single ventricles, during the time period 2011 to 2017, in a low-resource setting and compare pregnancy outcome with healthy concurrent controls. Outcomes assessed include the mode of delivery, maternal complications, neonatal death and birth weight.RESULTS:
There were six pregnant women with uncorrected single ventricles who had a total of 14 pregnancies. There was one maternal death in a woman with atrioventricular-septal defect and Eisenmenger syndrome. Caesarean section rates and preterm delivery were similar, whereas perinatal loss and low-birth weight rates were higher among women with a single ventricle compared to healthy controls.CONCLUSION:
Unplanned pregnancies without prenatal counselling/care pose a challenge to physicians especially in low to middle income countries and with the high risk of morbidity/mortality, pregnancy should be discouraged.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
Obstet Med
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Índia