Fetomaternal Outcome of Pregnancy in Women with Mild-Moderate Mitral Stenosis

Abstract

Objective:- To determine fetomaternal outcome of pregnancy in women with mild-moderate mitral stenosis. Material and methods:- This study was carried out in the Labour Ward Department of Obstetrics & Gynaecology, Nishtar Hospital Multan from January 2016 to  December 2016. One hundred and thirty five cases of mitral stenosis fulfilling the inclusion criteria were recruited from outdoor and labor ward of obstetric and gynecology department Nishtar Hospital Multan. Results:- Mean age of patients was 29.09±4.43 years. Majority of the patients 88(65.2%) women were between 26 to 30 years of age and there were 58(43.0%) primipara. Regarding fetomaternal outcome, congestive heart failure was observed in 43 patients (31.9%), preterm deliveries in 23 (17.0%) and intrauterine growth restriction in 30(22.2%) cases. Conclusion:- Among the complications, congestive heart failure had a high frequency of 31.9% followed by intrauterine growth restriction 22.2% and preterm deliveries 17.0%.

Key Words:- Valvular heart disease, mitral stenosis, congestive heart failure.