Hernández-Cruz RG, Rubalcava-Rubalcava T, Godínes-Enríquez MS

Language: Spanish
References: 0
Page: 217-227
PDF size: 160.86 Kb.

ABSTRACT

Objective: To describe the cardiovascular, obstetric and perinatal outcomes during pregnancy and the puerperium of patients with corrected congenital heart disease; treated at the Instituto Nacional de Perinatología.
Materials and Methods: Simple, retrospective, descriptive and cross-sectional cohort study of pregnant patients with corrected congenital heart disease treated at the Instituto Nacional de Perinatología of January 2015 at February 2017. The cardiovascular risk according to WHO, comorbidities, obstetric outcomes and perinatal. Demographic data, WHO risk, comorbidities, obstetric outcomes and perinatal. The statistical analysis was carried out with the SPSS program in its version 20.
Results: We included 24 patients with congenital heart disease, the most frequent being interatrial and interventricular communication, aortic coarctation; average age of 24.6 years, the WHO risk distribution: 7/24 OMS I, 8/24 OMS II, 7/24 OMS II-III y 2/24 OMS III; 13/24 had a bovine pericardium patch, 3/24 stent, 4/24 valves;1/24 presented spontaneous abortion, 1/24 preterm birth, 22/24 achieved full-term gestation, average gestational age at the resolution of 38.5 SDG, Apgar at 5 minutes of 9, no newborn required admission to NICU, no maternal death occurred.
Conclusion: The risk of pregnancy depends on the heart disease and clinical condition of the patient. Individual counseling is important, by a multidisciplinary team and in a specialized center from the early stage of pregnancy.