Obstetrical outcomes in cases of maternal heart disease with a risk of cardiac decompensation: A retrospective study since the establishment of a multidisciplinary consultation meeting "heart and pregnancy".
J Gynecol Obstet Hum Reprod
; 52(3): 102537, 2023 Mar.
Article
in En
| MEDLINE
| ID: mdl-36669644
ABSTRACT
BACKGROUND:
Pregnant women with chronic heart failure (CHF) are at increased risk for cardiac complications. However, the frequency of obstetrical and neonatal complications in pregnant women with CHF remains unclear.OBJECTIVE:
The objective of our study was to describe obstetrical and neonatal outcomes in pregnant with CHF.METHOD:
This single-center retrospective cohort study involves pregnant women with a CHF who delivered at Jeanne de Flandre, the Lille's university hospital, from 2017 to 2021. The frequency of obstetrical, neonatal, and cardiovascular complications was collected.RESULT:
During this period, we identified 26 pregnant women with a CHF. The main cardiac diseases responsible for CHF were cardiomyopathies (53.8%) and congenital heart disease (46.2%). Acute heart failure occurred in 30.8% of the cases and mainly concerned patients with no follow-up of their heart disease. The main obstetrical complications were fetal growth restriction (38.5%) and premature rupture of fetal membranes (19.2%). The 26 pregnancies comprised 25 live births and 1 stillbirth. Newborn infants were delivered via cesarean in 69.2%. Of the live births, 60% were preterm at a median gestational age of 36 (34-38) weeks.CONCLUSION:
Pregnant women with CHF had a higher risk for obstetrical and neonatal outcomes.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Premature Birth
/
Heart Defects, Congenital
/
Heart Failure
Type of study:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limits:
Female
/
Humans
/
Infant
/
Newborn
/
Pregnancy
Language:
En
Journal:
J Gynecol Obstet Hum Reprod
Year:
2023
Document type:
Article
Affiliation country:
Publication country:
FR
/
FRANCE
/
FRANCIA
/
FRANÇA