PMID- 19326134
OWN - NLM
STAT- MEDLINE
DCOM- 20111123
LR  - 20220311
IS  - 1432-0711 (Electronic)
IS  - 0932-0067 (Linking)
VI  - 281
IP  - 1
DP  - 2010 Jan
TI  - Pregnancy outcomes in women with heart disease.
PG  - 29-34
LID - 10.1007/s00404-009-1050-z [doi]
AB  - AIM: To evaluate the maternal and fetal outcome of pregnancies complicated by 
      cardiac disease in a developing country. METHODS: A retrospective analysis was 
      carried out of 144 pregnancies in women with cardiac disease who delivered in our 
      unit between 1997 and 2006. Perinatal and maternal outcomes were interpreted 
      according to the type of the heart disease and status of the patient according to 
      the New York Heart Association (NYHA) classification. RESULTS: The rates of 
      rheumatic and congenital heart disease were 87.5 and 12.5%, respectively. The 
      distribution of the patients according to the NYHA functional classification were 
      55.6, 36.1 and 8.3% for NYHA classes I, II and III-IV, respectively. There was no 
      maternal mortality. Maternal morbidity was observed in 16 (11.1%) cases. Six 
      perinatal mortalities (4.2%) occurred in this series. There were no significant 
      difference in birth weight, gestational age at delivery and perinatal morbidity 
      between the NYHA stage I-II and stage III-IV groups (P > 0.05), whereas maternal 
      morbidity and cesarean delivery rates were significantly higher in the NYHA stage 
      III-IV group (P < 0.001). CONCLUSION: Rheumatic heart disease with pregnancy is 
      still predominant in Turkey. Most of the patients were in a good functional 
      group. Maternal morbidity strongly correlates with maternal cardiac 
      classification.
FAU - Madazli, Riza
AU  - Madazli R
AD  - Obstetrics and Gynecology Department, Cerrahpasa Medical Faculty, Istanbul 
      University, Istanbul, Turkey. madazli@superonline.com
FAU - Sal, Veysel
AU  - Sal V
FAU - Cift, Tayfur
AU  - Cift T
FAU - Guralp, Onur
AU  - Guralp O
FAU - Goymen, Abdullah
AU  - Goymen A
LA  - eng
PT  - Journal Article
DEP - 20090327
PL  - Germany
TA  - Arch Gynecol Obstet
JT  - Archives of gynecology and obstetrics
JID - 8710213
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Developing Countries/statistics & numerical data
MH  - Female
MH  - Heart Defects, Congenital/*epidemiology
MH  - Humans
MH  - *Perinatal Mortality
MH  - Pregnancy
MH  - Pregnancy Complications, Cardiovascular/*epidemiology
MH  - *Pregnancy Outcome
MH  - Retrospective Studies
MH  - Rheumatic Heart Disease/*epidemiology
MH  - Turkey/epidemiology
MH  - Young Adult
EDAT- 2009/03/28 09:00
MHDA- 2011/12/13 00:00
CRDT- 2009/03/28 09:00
PHST- 2008/11/11 00:00 [received]
PHST- 2009/03/10 00:00 [accepted]
PHST- 2009/03/28 09:00 [entrez]
PHST- 2009/03/28 09:00 [pubmed]
PHST- 2011/12/13 00:00 [medline]
AID - 10.1007/s00404-009-1050-z [doi]
PST - ppublish
SO  - Arch Gynecol Obstet. 2010 Jan;281(1):29-34. doi: 10.1007/s00404-009-1050-z. Epub 
      2009 Mar 27.