Article: Impact of Elective Abortion in pregnancy with Cardiac problems
| creativeworkseries.issn | ISSN (Print) : 1993-2979 | ISSN (Online) : 1993-2987 | |
| dc.contributor.author | Shrestha, B | |
| dc.contributor.author | Dali, B | |
| dc.contributor.author | Paudel, P | |
| dc.contributor.author | Jha, R | |
| dc.contributor.author | Rana, A | |
| dc.contributor.author | Gurung, G | |
| dc.contributor.author | Baral, G | |
| dc.date.accessioned | 2026-06-10T05:51:08Z | |
| dc.date.available | 2026-06-10T05:51:08Z | |
| dc.date.issued | 2011 | |
| dc.description | B Shrestha Department of Obstetrics and Gynecology, Department of Medicine, TUTH B Dali Department of Obstetrics and Gynecology, Department of Medicine, TUTH P Paudel Department of Obstetrics and Gynecology, Department of Medicine, TUTH R Jha Department of Obstetrics and Gynecology, Department of Medicine, TUTH A Rana Department of Obstetrics and Gynecology, Department of Medicine, TUTH G Gurung Department of Obstetrics and Gynecology, Department of Medicine, TUTH G Baral Department of Obstetrics and Gynecology, Department of Medicine, TUTH | |
| dc.description.abstract | Abstract Introduction: Pregnant women with heart diseases advance either to preterm/term delivery. Some of the pregnancies end in abortions, which however are spontaneous or are terminated for medical reasons. Method: Retrospective study done in the Department of Obstetrics and Gynecology at Tribhuvan University Teaching Hospital from April 2010 to March 2011 (Baisakh 2067 to Chaitra 2067); Source of data was Operation Theater Register and Admission files. Results: MTP were done for altogether 18 cases of heart diseasesin pregnancy. Primigravida (6) and multigravida (12) were seen in age groups 20-30 (13); 30-40 (5) at gestational weeks of 6-8 (n=10); 9-10 (n=6); 11-12 (n=1); >12 (n=1). The heart diseases were {CHD (1); rest 17 RHD: Majority being done following post valve replacement surgery 11[AVR (1); DVR (3) & MVR (7)]}. Latter mandated a tedious process of anticoagulation, switching from heparin to warfarin and vice versa demanding prolonged hospitalization (up to 12 days) as co- morbidity. Mainly because repeat MVA was needed for incomplete abortion as complication in one case, subsequent procedures were done under USG guidance. Conclusion: It is simpler and safer to avoid pregnancy in heart diseases; especially in those women with post valve replacement surgery rather than imposing MTP, the procedure concerned are not without associated risk, beyond doubt. Keywords: Medical termination of pregnancy (MTP), anticoagulation, valve replacement surgery | |
| dc.identifier | https://doi.org/10.59779/jiomnepal.443 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/6409 | |
| dc.language.iso | en_US | |
| dc.publisher | Institute of Medicine | |
| dc.subject | Medical termination of pregnancy (MTP) | |
| dc.subject | anticoagulation | |
| dc.subject | valve replacement surgery | |
| dc.title | Impact of Elective Abortion in pregnancy with Cardiac problems | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Original Article | |
| oaire.citation.endPage | 23 | |
| oaire.citation.startPage | 20 | |
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