Maternal and perinatal outcome of pregnancies complicated by cardiac disease
Maternal and perinatal outcome of pregnancies complicated by cardiac disease
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DOI：
10.1016/j.ijgo.2005.03.008
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发表时间：
2005-07-01
影响因子：
3.8
通讯作者：
Moussa, S
中科院分区：
文献类型：
--
作者：
Abdel-Hady, ES;El-Shamy, M;Moussa, S
目的：本研究的目的是评估埃及三级护理中心妊娠合并心脏病的孕产妇和围产期结局。方法：在 1 年期间，共有 86 名患有心脏病的孕妇入院。计算孕产妇和围产期发病率和死亡率，并与对照组进行比较。结果：77 例（89.5%）患者因风湿病，其中 60 例患者被分类为 NYHA I-II 级。孕产妇死亡1例（1.16%），另有10例出现危及生命的并发症。该系列中发生了 2 例围产期死亡 (2.32%)。功能Ⅲ、Ⅳ级母亲所生婴儿的出生体重显着低于功能Ⅰ-II级和对照组。结论：妊娠期风湿性心脏病在埃及仍占主导地位。孕产妇和围产期发病率和死亡率与孕产妇心功能分类密切相关。 (c) 2005 年国际妇产科联合会。由爱思唯尔爱尔兰有限公司出版。保留所有权利。
Objective: The aim of this study was to assess the maternal and perinatal outcome of pregnancies complicated by cardiac disease in a tertiary care center in Egypt. Methods: During a 1-year period, a total of 86 pregnant women with cardiac disease were admitted. Maternal and perinatal morbidity and mortality were calculated and compared with a control group. Results: Seventy-seven (89.5%) patients were due to rheumatic affection, and 60 patients were classified as NYHA classes I-II. There was one case of maternal mortality (1.16%), and 10 other cases developed life-threatening complications. Two perinatal mortalities (2.32%) occurred in this series. Birth weight of babies born to mothers with functional classes III and IV were significantly lower than those of functional classes I-II and control group. Conclusion: Rheumatic heart disease with pregnancy is still predominant in Egypt. Maternal and perinatal morbidity and mortality are strongly correlated to maternal cardiac functional classification. (c) 2005 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.