Impact and outcome of cardiac diseases in pregnancy

Gira Dabhi, Jignesh Chauhan, Munjal Pandya, Rahul Sinhar


Background: Present study done to study incidence, effect of pregnancy on cardiac disease and vice-versa and feto-maternal outcome in patients with cardiac disease in pregnancy at tertiary care hospital.

Methods: It’s a retrospective observational study conducted in Department of OBGY at tertiary care hospital between 01 June 2019 to 31 May 2020. 28 cases of cardiac disease out of 8659 patients registered included in the study. Demographic data like age, parity, etiological factors of cardiac disease, mode of delivery, neonatal outcome noted from case records.

Results: In study, 32% were unregistered cases and 10.7% had never sought any medical care before. Majority (53.6%) cases belonged to 20-25 years. Heart disease noted to be more in primipara (35.7%). 71.4% belonged to NYHA class 1+2 and had a relatively uneventful peripartum period. Majority (53.6%) patients had rheumatic valvular disease. Cases of Congenital heart disease were17.8%, pulmonary artery hypertension was 25%, Maternal mortality were 2(7.2%). 46.5% women delivered with caesarean section. PIH (18%) and anemia (7.2%) were most commonly associated conditions. 85.6% women delivered live newborns and full term, pre-term deliveries and IUGR were 71.4%, 17.8% and 10.7% respectively.

Conclusions: Rheumatic origin is the most common cardiac disease associated with pregnancy. The availability of early diagnostic techniques and reference to tertiary care centre, timely admission and close monitoring of patient and delivery with multidisciplinary approach include specialized cardiologic care, high risk obstetric support and neonatology expertise can minimize feto-maternal morbidity and mortality. Pre-conceptional counselling, regular antenatal check-ups and contraceptive advice must be included in counselling part.


Cardiac disease, Feto-maternal outcome, Maternal death

Full Text:



Cardiovascular Diseases. In: Cunningham FG, Lenovo KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY et al. Williams obstetrics. 24th Ed, New York, NY: McGraw-Hill. 2014;973-7.

Biswas S, Mandal I, Mandal AK. Heart disease in pregnancy and its feto-maternal outcome. J Dent Medic Sci. 2016;15:92-6.

Tahira T, Tahira S. Pregnancy; outcome in cardiac disease. Professional Med J Apr. 2012;19(2):145-9.

Joshi G, Joshi SC, Jha SK, Singh Y, Joshi A. Maternal heart disease and pregnancy outcome: Findings from a retrospective cohort in a tertiary care government hospital in Haldwani, Nainital. Nig J Cardiol 2015;12:120-3.

Sheela CN, Karanth S, Patil CB. Maternal cardiac complications in women with cardiac disease in pregnancy. Int J Pharm Biomed Res. 2011;2(4):261-5.

Gehlot H, Singh N. Study of outcome of pregnancy in women with heart disease. Int J Reprod Contracept Obstet Gynecol. 2018;7(3):917-20.

Shah SR. Maternal cardiac disease and pregnancy outcome. Gujarat Medic J. 2013;68(1).

Pillay S, Macdonald AP, Mathivha TM, Bakker JL & Mackintosh MO. Cardiac disease in Pregnancy: A 4- year audit at Pretoria Academic Hospital. Sout Afric Med J. 2008;98(7):553-6.

Patil V, Bhingare P, Murthy B. Evaluation of Maternal and fetal outcome of pregnancy with heart disease with special reference to surgically corrected heart disease. Int J Sci Res Pub. 2014;4(9):1-5.