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FETAL-MATERNAL OUTCOME IN PREGNANCY HAVING ASSOCIATION WITH MITRAL STENOSIS

Dr Ghania Nazir, Dr Muhammad Musa Ansari, Dr Muhammad Haroon Hamid

Abstract: Objective: The aim of this research work is to assess the rate of fetal-maternal outcome in pregnancy associated with mitral stenosis in pregnant females admitted in General Hospital Lahore. Methodology: This research work covered a duration of two years in Gynecology department of General Hospital Lahore from January 2017 to December 2018. All females with pregnancy with identified MS (Mitral Stenosis) with the help of echocardiography were the part of this research work. We recorded the history about the age, parity number, duration of pregnancy according to the finding of ultrasound & related complaints. We also noted the delivery mode and rate of maternal mortality. Weight at the time of birth and Apgar score were in use for the analysis of the fetal outcome. Results: A sum of total one hundred and one patients fulfilling the inclusion standard were the part of this research work. The range of age of pregnant females was twenty to twenty-nine years (69.0%) and 81.0% pregnant females were multi-gravidas. The normal delivery through vagina occurred in 66.30% (n: 67) patients & 78.30% pregnancies were term pregnancies. The deliveries, which were preterm, were 21.80% & 27.70% new births were available with low weight. APGAR score of less than seven was available in 14.90% neonates & nine babies met their intrauterine death. Less ejection fraction of less than 55.0% was available in 13.90% (n: 20) females and we found the mortality of mothers in only two cases. Conclusion: the diseases of heart in the period of pregnancy has association with important amount of morbidity, there should be a careful management in the hospitals with tertiary care to get optimum fetal-maternal outcomes. Keywords: Cardiovascular, Pregnancies, Hemodynamics, Management, Methodology, Intrauterine, Mortality, Fetal, Maternal, APGAR, Ejection Fraction, Gynecology.

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