Publication: Maternal Mortality in Pregnancy with Heart Disease
Date
2014
Article Type
Original Article
Journal Title
Journal ISSN
ISSN (Print) : 1993-2979 | ISSN (Online) : 1993-2987
Volume Title
Pages
Pages: 14 - 17
Publisher
Institute of Medicine
Abstract
Abstract
Introduction: The incidence of heart disease complicating pregnancy is approximately 1–3% of pregnancies and is responsible for 10 to 15% of maternal mortality. While rheumatic heart disease is on real decline in western world, it is adamantly remaining unchanged here in Nepal and persistently contributing to maternal mortality in cardiac complication in pregnancy.
Methods: From the ongoing maternal mortality study since BS 2050 (13th April 1993), data from last 15 years (April 1998 - 2013) were extracted. The data were tabulated and analyzed.
Results: There were 14 12.5% deaths accountable to heart disease in a total 112 maternal mortality during the period of 15 years and they were mostly from rheumatic heart disease. Most of them were multivalvular heart disease except for a solitary case of aortic stenosis. MTP (2) Caesarian (3) breech vaginal delivery (1) were performed and spontaneous expulsion was managed along with supportive care delivered in mothers who died shortly after admission.
Conclusion: Poor health seeking behavior and careless attitude is a part of blame game played often played whereas mortality from rheumatic heart disease which is obsolete in global scenario is of utmost concern as cardiac conditions pertaining to this etiology can be minimized certainly and the mortality attributed thus can be reduced. Termination of pregnancy should only be allowed for reason more than valvular lesion like coarctation of aorta.
Keywords: Heart Disease, maternal mortality
Description
B Dali
Department of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
J Baral
Department of Gynaecology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
Keywords
Heart Disease, maternal mortality
Identifier
https://doi.org/10.59779/jiomnepal.546