PMID- 26700422
OWN - NLM
STAT- MEDLINE
DCOM- 20170804
LR  - 20220907
IS  - 1432-0711 (Electronic)
IS  - 0932-0067 (Linking)
VI  - 294
IP  - 2
DP  - 2016 Aug
TI  - Maternal and fetal outcome in women with rheumatic heart disease: a 3-year 
      observational study.
PG  - 273-8
LID - 10.1007/s00404-015-3990-9 [doi]
AB  - OBJECTIVE: To assess prospectively the maternal and fetal outcome in women with 
      rheumatic heart disease (RHD). METHODS: This was a prospective 3-year 
      observational study carried out at Menoufia University Hospital, Egypt in which 
      192 patients out of 9856 pregnant women were diagnosed with RHD and divided into 
      two groups: low- and high-risk groups based on the New York Heart Association 
      (NYHA) functional classification. Enrolled patients were followed to assess the 
      maternal and fetal outcome. RESULTS: Mitral valve disease was the commonest 
      single valve (118/192, 51.4 %) affected by rheumatic fever. Cardiac women with 
      NYHA class I&II characterized by having fewer pulmonary hypertension, taking 
      cardiac medications, prior heart failure and prior cardiac surgery than those 
      with NYHA class III&IV. On the hand, cardiac women with NYHA III&IV have poorer 
      maternal outcome with more complications as heart failure, arrhythmias, 
      thromboembolism, admission to cardiac ICU, delivery by cesarean section and 
      defective lactation. Prematurity and NICU admission were significantly more in 
      NYHA III&IV. CONCLUSIONS: RHD still constitutes a major cause of maternal and 
      fetal morbidity and mortality. Multidisciplinary cooperation, proper 
      preconception and antenatal care are the key measures to improve the outcomes of 
      these patients.
FAU - Rezk, Mohamed
AU  - Rezk M
AD  - Department of Obstetrics and Gynecology, Faculty of Medicine, Menoufia 
      University, Shibin Elkom, Menoufia, Egypt. m_rezk9207@yahoo.com.
FAU - Gamal, Awni
AU  - Gamal A
AD  - Department of Cardiology, Faculty of Medicine, Menoufia University, Shibin Elkom, 
      Menoufia, Egypt.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PT  - Retracted Publication
DEP - 20151223
PL  - Germany
TA  - Arch Gynecol Obstet
JT  - Archives of gynecology and obstetrics
JID - 8710213
SB  - IM
RIN - Arch Gynecol Obstet. 2022 Jun;305(6):1631. PMID: 35593949
MH  - Adult
MH  - Arrhythmias, Cardiac/epidemiology
MH  - *Cesarean Section
MH  - Egypt
MH  - Female
MH  - Fetus
MH  - Heart Failure/epidemiology
MH  - Humans
MH  - Hypertension, Pulmonary/epidemiology
MH  - Infant, Newborn
MH  - Infant, Premature
MH  - Pregnancy
MH  - Pregnancy Complications, Cardiovascular/diagnosis/*physiopathology
MH  - *Pregnancy Outcome
MH  - Prospective Studies
MH  - Rheumatic Heart Disease/*complications
MH  - Young Adult
OTO - NOTNLM
OT  - Maternal mortality
OT  - Pregnancy outcome
OT  - Rheumatic heart disease
EDAT- 2015/12/25 06:00
MHDA- 2017/08/05 06:00
CRDT- 2015/12/25 06:00
PHST- 2015/05/30 00:00 [received]
PHST- 2015/12/10 00:00 [accepted]
PHST- 2015/12/25 06:00 [entrez]
PHST- 2015/12/25 06:00 [pubmed]
PHST- 2017/08/05 06:00 [medline]
AID - 10.1007/s00404-015-3990-9 [pii]
AID - 10.1007/s00404-015-3990-9 [doi]
PST - ppublish
SO  - Arch Gynecol Obstet. 2016 Aug;294(2):273-8. doi: 10.1007/s00404-015-3990-9. Epub 
      2015 Dec 23.