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| The influences of different heart disease types and cardiac function status of pregnant women with heart disease on the maternal and infant prognosis |
| Women's Hospital of Nanjing Medical University(Nanjing Maternity and Child Health Care Hospital), Jiangsu Province, 210011 |
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Abstract Objective: To explore the influences of different heart disease types and cardiac function status of pregnant women with heart disease on the maternal and infant prognosis. Methods: The data of 128 pregnant women with heart disease were retrospectively analyzed, and all included women were divided into group A (women with NYHAIII-IV class) and group B (women with NYHA I-II class) according to the type of heart disease and cardiac function. The maternal and child prognosis were compared between the two groups. Results: The cesarean section rate of women in group A was 94.3%, which was significantly higher than that (79.6%) of women in group B. The gestational weeks when delivery of women, the weight of the newborns in group A were significant higher than those of women in group B (P<0.05), but the incidences of maternal heart failure, premature delivery, low birth weight infants of full-term delivery, perinatal death, and neonatal asphyxia of women in group A were significant higher than those of women in group B (P<0.05). There were no significant different in cesarean section rate among the women with congenital heart disease, the women with rheumatic heart disease, the women with hypertensive heart disease, and the women with cardiomyopathy (P>0.05). The gestational weeks when delivery and weight of the newborn of women with arrhythmia were significant higher than those of women with other types of heart disease, but the rates of maternal heart failure, premature delivery, full-term low birth weight, perinatal death, neonatal asphyxia were significant lower (P<0.05). Conclusion: The pregnant women with NYHA III~IV class have higher rates of heart failure, premature delivery, full-term low birth weight, perinatal death, neonatal asphyxia, and they has worse maternal and child prognosis. As for pregnant women with different type of heart disease, the maternal and infant prognosis of women with arrhythmia is relatively better, and the maternal and infant prognosis of women with congenital heart disease, rheumatic heart disease, hypertensive heart disease, and cardiomyopathy are almost the same.
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