The Pregnancy Outcome of Acyanotic Heart Disease
Identifieur interne : 001E56 ( Main/Exploration ); précédent : 001E55; suivant : 001E57The Pregnancy Outcome of Acyanotic Heart Disease
Auteurs : Chig [Malaisie] ; Subramaniam Raman [Malaisie] ; Seng Woh Tham [Malaisie]Source :
- Journal of Obstetrics and Gynaecology Research [ 1341-8076 ] ; 1998-08.
English descriptors
- KwdEn :
Abstract
Objective: To study the pregnancy outcome of women with acyanotic heart disease. Method: This is a retrospective study from a tertiary referral centre in a developing country over a period of 3 years. Results: There were a total of 19,151 deliveries where 143 cases had heart disease in pregnancy, all of which were acyanotic, giving an incidence of 0.7%. Fifty‐one (38.4%) of these were congenital whereas 82 (61.6%) were acquired. There was no cyanotic heart lesion during this study period. The fetal and maternal outcome of the women with heart disease (study group) was compared with the general obstetric population in the Unit (control group) using the Chi‐squared test. Ninety‐two percent in the study group were asymptomatic (NYHA Class I). The age distribution were no different except in the < 20 years interval where there were significantly fewer in the study group. More women with heart disease were primiparous and fewer were multiparous as compared with the controls. There was no significant difference in the rate of induction of labour (9.8% vs 11.8%). The use of epidural analgesia was significantly higher in the study group (49% vs 13%) as was the instrumental delivery rates (35.7% vs 5.7%) when compared with the controls. The cae‐sarean section rate was no different. The mean gestation of babies born to mothers with heart disease was 38.2 weeks. Significantly fewer babies were in the 3.0–3.5 kg weight interval and more in the 2.5‐3.0 kg interval. However, this did not alter the perinatal mortality rates which was not significantly different (15.3 vs 14.0 per thousand). Conclusion: The fetal and maternal outcome in women with acyanotic heart disease was favourable. It is advocated that the management of these cases should be multidisciplinary to optimise care for these patients.
Url:
DOI: 10.1111/j.1447-0756.1998.tb00088.x
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">The Pregnancy Outcome of Acyanotic Heart Disease</title><author><name sortKey="Chig" sort="Chig" uniqKey="Chig" last="Chig">Chig</name></author><author><name sortKey="Raman, Subramaniam" sort="Raman, Subramaniam" uniqKey="Raman S" first="Subramaniam" last="Raman">Subramaniam Raman</name></author><author><name sortKey="Tham, Seng Woh" sort="Tham, Seng Woh" uniqKey="Tham S" first="Seng Woh" last="Tham">Seng Woh Tham</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:0197475DDA09ECE02ADA8C22CCBE6B01F6D4D038</idno><date when="1998" year="1998">1998</date><idno type="doi">10.1111/j.1447-0756.1998.tb00088.x</idno><idno type="url">https://api.istex.fr/document/0197475DDA09ECE02ADA8C22CCBE6B01F6D4D038/fulltext/pdf</idno><idno type="wicri:Area/Main/Corpus">001122</idno><idno type="wicri:Area/Main/Curation">000F28</idno><idno type="wicri:Area/Main/Exploration">001E56</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">The Pregnancy Outcome of Acyanotic Heart Disease</title><author><name sortKey="Chig" sort="Chig" uniqKey="Chig" last="Chig">Chig</name><affiliation wicri:level="1"><country xml:lang="fr">Malaisie</country><wicri:regionArea>Department of Obstetrics and Gynaecology, University Hospital, Kuala Lumpur</wicri:regionArea><wicri:noRegion>Kuala Lumpur</wicri:noRegion></affiliation></author><author><name sortKey="Raman, Subramaniam" sort="Raman, Subramaniam" uniqKey="Raman S" first="Subramaniam" last="Raman">Subramaniam Raman</name><affiliation wicri:level="1"><country xml:lang="fr">Malaisie</country><wicri:regionArea>Department of Obstetrics and Gynaecology, University Hospital, Kuala Lumpur</wicri:regionArea><wicri:noRegion>Kuala Lumpur</wicri:noRegion></affiliation></author><author><name sortKey="Tham, Seng Woh" sort="Tham, Seng Woh" uniqKey="Tham S" first="Seng Woh" last="Tham">Seng Woh Tham</name><affiliation wicri:level="1"><country xml:lang="fr">Malaisie</country><wicri:regionArea>Department of Obstetrics and Gynaecology, University Hospital, Kuala Lumpur</wicri:regionArea><wicri:noRegion>Kuala Lumpur</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of Obstetrics and Gynaecology Research</title><idno type="ISSN">1341-8076</idno><idno type="eISSN">1447-0756</idno><imprint><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="1998-08">1998-08</date><biblScope unit="volume">24</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="267">267</biblScope><biblScope unit="page" to="273">273</biblScope></imprint><idno type="ISSN">1341-8076</idno></series><idno type="istex">0197475DDA09ECE02ADA8C22CCBE6B01F6D4D038</idno><idno type="DOI">10.1111/j.1447-0756.1998.tb00088.x</idno><idno type="ArticleID">JOG267</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1341-8076</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>acyanotic</term><term>heart disease</term><term>pregnancy outcome</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective: To study the pregnancy outcome of women with acyanotic heart disease. Method: This is a retrospective study from a tertiary referral centre in a developing country over a period of 3 years. Results: There were a total of 19,151 deliveries where 143 cases had heart disease in pregnancy, all of which were acyanotic, giving an incidence of 0.7%. Fifty‐one (38.4%) of these were congenital whereas 82 (61.6%) were acquired. There was no cyanotic heart lesion during this study period. The fetal and maternal outcome of the women with heart disease (study group) was compared with the general obstetric population in the Unit (control group) using the Chi‐squared test. Ninety‐two percent in the study group were asymptomatic (NYHA Class I). The age distribution were no different except in the < 20 years interval where there were significantly fewer in the study group. More women with heart disease were primiparous and fewer were multiparous as compared with the controls. There was no significant difference in the rate of induction of labour (9.8% vs 11.8%). The use of epidural analgesia was significantly higher in the study group (49% vs 13%) as was the instrumental delivery rates (35.7% vs 5.7%) when compared with the controls. The cae‐sarean section rate was no different. The mean gestation of babies born to mothers with heart disease was 38.2 weeks. Significantly fewer babies were in the 3.0–3.5 kg weight interval and more in the 2.5‐3.0 kg interval. However, this did not alter the perinatal mortality rates which was not significantly different (15.3 vs 14.0 per thousand). Conclusion: The fetal and maternal outcome in women with acyanotic heart disease was favourable. It is advocated that the management of these cases should be multidisciplinary to optimise care for these patients.</div></front></TEI><affiliations><list><country><li>Malaisie</li></country></list><tree><country name="Malaisie"><noRegion><name sortKey="Chig" sort="Chig" uniqKey="Chig" last="Chig">Chig</name></noRegion><name sortKey="Raman, Subramaniam" sort="Raman, Subramaniam" uniqKey="Raman S" first="Subramaniam" last="Raman">Subramaniam Raman</name><name sortKey="Tham, Seng Woh" sort="Tham, Seng Woh" uniqKey="Tham S" first="Seng Woh" last="Tham">Seng Woh Tham</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/ParkinsonV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001E56 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 001E56 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= ParkinsonV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= ISTEX:0197475DDA09ECE02ADA8C22CCBE6B01F6D4D038
|texte= The Pregnancy Outcome of Acyanotic Heart Disease
}}
| This area was generated with Dilib version V0.6.23. |  |