The New Indian Journal of OBGYN. 11(1):180-185
Study of risk factors in pregnant women with heart failure in a tertiary care hospital and its maternal outcome
Surjyatapa Bhattacharjee, Pranoy Nath
ABSTRACT
Objectives: The aim of our study was to assess the risk factors and maternal outcome in pregnant women with heart failure. Method: It was an observational study conducted at Silchar Medical College, Silchar from June 1st of 2019 to May 31st of 2020. 70 patients were studied. The diagnosis was made according to Framingham’s criteria and grading was done according to NYHA class. Results: The rate of heart failure per 10,000 deliveries in our study was 64.77. Majority (45.7%) of the antenatal patients admitted with heart failure were in age group 20-24 years and most of them presented ≥37weeks (60%) in peripartum period. Majority (52.9%) were primigravida, and 74.3% were referred from other centres. Only 12.9 % of patients had pre-existing heart disease. 45.7% of patients had anaemia as risk factor followed by eclampsia or pre-eclampsia. About 40% of the patients were delivered by LSCS. The maternal mortality was found to be 21.4%. Preterm delivery, prolonged hospital stay (≥7 days), admission in ICU, mechanical ventilation and disseminated intravascular coagulation (DIC) were other adverse maternal outcomes. Most of the expired patients were in NYHA grade IV. Conclusion: Heart failure in antenatal patients may lead to severe mortality and morbidity. Identification of risk factor and prompt initiation of treatment will help in reducing disastrous results.