Korean J Perinatol.  2007 Dec;18(4):338-344.

A Clinical Study of Maternal Heart Disease in Pregnancy

• Kim A
• Park BJ
• Seo MW
• Kim OK
• Kim SP
• Shin JC

Abstract

OBJECTIVE
To assess the pregnancy outcomes complicated by maternal heart diseases.
METHODS
From 1995 to 2006, medical records of pregnant women who had received full antenatal care at Kangnam St. Marys Hospital and Our Lady of Mercy Hospital with maternal heart diseases were reviewed.
RESULTS
Forty one deliveries from 39 women were enrolled for analysis. 11 (26.7%) cases of the heart diseases were of rheumatic origin, 22 (53.7%) cases had arrhythmic disease, 3 (7.3%) cases had congenital heart disease, and the remaining 5 (12.3%) cases were consisted of miscellaneous diseases such as ischemic heart disease and congestive heart failure. There were 4 (9.8%) cases of pulmonary edema which had occurred as maternal complication during pregnancy. One case was a twin pregnancy. All of them were in New York Heart Association (NYHA) functional classes I, II before, during, and after delivery. Mean gestational age at birth and birth weight were 38.6 weeks and 3,157 g respectively. Neonatal congenital heart disease was shown in only one case with tetralogy of Falot and the other fetal anomaly was multicystic dysplastic kidney.
CONCLUSION
Our results indicate that successful pregnancy outcome in patients with maternal heart disease would be possible in NYHA functional classes of I and II without any increased risk of complications.

Keyword

Maternal heart disease; Arrhythmia; Pregnancy outcome

MeSH Terms

Arrhythmias, Cardiac
Birth Weight
Female
Gestational Age
Heart Defects, Congenital
Heart Diseases*
Heart Failure
Heart*
Humans
Medical Records
Multicystic Dysplastic Kidney
Myocardial Ischemia
Parturition
Pregnancy Outcome
Pregnancy*
Pregnancy, Twin
Pregnant Women
Pulmonary Edema