RESUMEN
BACKGROUND: Maternal mortality rates in Brazil remain above the goals established by the United Nations Sustainable Development Goals. Heart disease is estimated to affect 4% of all pregnancies and remains by itself the main indirect obstetric cause of maternal death. In the last decades, a significant improvement in the prognosis of heart diseases has made pregnancy possible in women with heart disease and provided better maternal and fetal outcomes. OBJECTIVES: To establish a multicenter Brazilian Registry of pregnant women with heart disease; to study the causes of immediate and late maternal mortality; and to assess the prevalence of heart disease in the country's macro-regions. METHODS: This is an observational study, with retrospective and prospective stages, of the clinical and obstetric progression of pregnant women with heart disease. These women consecutively received care during pregnancy and will be followed up for up to a year after delivery at public and private hospitals with infrastructure for the execution of this project, a principal investigator, and approval by Ethics and Research Committees. RESULTS: Our results will be presented after data collection and statistical analysis, aiming to demonstrate immediate and late maternal mortality rates, as well as the prevalence of heart disease in the country and its cardiovascular and obstetric complications during pregnancy. CONCLUSIONS: REBECGA will be the Brazilian Registry of heart disease and pregnancy and it will contribute to planning preventive measures, raising financial resources for the improvement of high-risk prenatal care, and reducing immediate and late maternal mortality due to heart disease.
Asunto(s)
Humanos , Femenino , Embarazo , Complicaciones Cardiovasculares del Embarazo/epidemiología , Sistema de Registros , Mortalidad Materna , Complicaciones Cardiovasculares del Embarazo/prevención & control , Estudios Transversales , Estudios Prospectivos , Estudios Retrospectivos , Estudios Longitudinales , Cardiopatías/epidemiología , MétodosAsunto(s)
Hipertensión , Brasil , Humanos , Hipertensión/diagnóstico , Hipertensión/prevención & controlAsunto(s)
Aneurisma de la Aorta Torácica/diagnóstico por imagen , Disección Aórtica/diagnóstico por imagen , Complicaciones Cardiovasculares del Embarazo/diagnóstico por imagen , Adulto , Disección Aórtica/cirugía , Aneurisma de la Aorta Torácica/cirugía , Femenino , Humanos , Síndrome de Marfan/complicaciones , Embarazo , Complicaciones Cardiovasculares del Embarazo/cirugía , Tomografía Computarizada por Rayos X , UltrasonografíaAsunto(s)
Humanos , Femenino , Embarazo , Adulto , Complicaciones Cardiovasculares del Embarazo/diagnóstico por imagen , Aneurisma de la Aorta Torácica/diagnóstico por imagen , Disección Aórtica/diagnóstico por imagen , Complicaciones Cardiovasculares del Embarazo/cirugía , Tomografía Computarizada por Rayos X , Ultrasonografía , Aneurisma de la Aorta Torácica/cirugía , Disección Aórtica/cirugía , Síndrome de Marfan/complicacionesRESUMEN
We describe here the pregnancy follow-up and outcome in a patient with Takayasu's arteritis, with a detailed account of the complications during gestation and delivery and the impact of the disease on the newborn's health.
Asunto(s)
Complicaciones Cardiovasculares del Embarazo/diagnóstico , Arteritis de Takayasu/diagnóstico , Adolescente , Cesárea , Femenino , Humanos , Hipertensión/complicaciones , Recién Nacido , Embarazo , Complicaciones Cardiovasculares del Embarazo/diagnóstico por imagen , Resultado del Embarazo , Arteritis de Takayasu/diagnóstico por imagen , Ultrasonografía DopplerRESUMEN
No presente relato, que descreve a gestação de paciente portadora de arterite de Takayasu, serão avaliadas a interação dessa afecção com a gravidez e as intercorrências materno-fetais, do parto e do recém-nascido.
We describe here the pregnancy follow-up and outcome in a patient with Takayasu's arteritis, with a detailed account of the complications during gestation and delivery and the impact of the disease on the newborn's health.