Pregnancy with Heart Disease: Maternal Outcomes and Risk Factors for Fetal Growth Restriction

Thang Nguyen Manh, Nhon Bui Van, Huyen Le Thi, Long Vo Hoang, Hao Nguyen Si Anh, Huong Trinh Thi Thu, Thuc Nguyen Xuan, Nga Vu Thi, Le Bui Minh and Dinh-Toi Chu
Additional contact information
Thang Nguyen Manh: Department Obstetrics and Gynecology, Hanoi Medical University, Hanoi 100000, Vietnam
Nhon Bui Van: Department of Science and Technology, Hanoi Medical University, Hanoi 100000, Vietnam
Huyen Le Thi: Department Obstetrics and Gynecology, Hanoi Medical University, Hanoi 100000, Vietnam
Long Vo Hoang: Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
Hao Nguyen Si Anh: Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
Huong Trinh Thi Thu: Department of Dermatology, Dong A Hospital, Hanoi 100000, Vietnam
Thuc Nguyen Xuan: Department of Midwifery, Hanoi Obstetrics and Gynecology Hospital, Hanoi 100000, Vietnam
Nga Vu Thi: Institute for Research and Development, Duy Tan University, 03 Quang Trung, Danang 550000, Vietnam
Le Bui Minh: NTT Hi-Tech Institute, Nguyen Tat Thanh University, 300A Nguyen Tat Thanh St., Ward 13, District 4, Ho Chi Minh City 700000, Vietnam
Dinh-Toi Chu: Faculty of Biology, Hanoi National University of Education, Hanoi 100000, Vietnam

IJERPH, 2019, vol. 16, issue 12, 1-12

Abstract: Caring for children and mothers suffering from cardiac disease is highly challenging, with issues including late diagnosis as well as inadequate infrastructure and supply of drugs. We aimed to evaluate maternal outcomes among pregnant women suffering from heart disease with a live birth, and explored the risk factors for fetal growth restriction among these patients. A retrospective study was performed at the National Hospital of Obstetrics and Gynecology (Hanoi, Vietnam) over a 3-year period from 2014 to 2016. A total of 284 patients were enrolled in the study. Overall, most women were aged below 35 years and were diagnosed with heart disease before pregnancy. Of the women experiencing rheumatic heart disease, the prevalence of mitral valve regurgitation was the highest (40.14%), while the figure for aortic valve regurgitation was the lowest (4.23%). Of women with congenital heart defects, the most common defects were ventricular septal defect (VSD) and atrial septal defect (ASD) (19.37% and 16.55%, respectively), while 5.28% of mothers were diagnosed with tetralogy of Fallot and 1.76% with patent ductus arteriosus. Noted clinical presentations of the patients included palpitation (63.38%), breathlessness (23.59%), leg edema (8.45%), and chest pain (8.1%). The common complications in the study population included 16.90% of women having heart failure and 19.37% having arrhythmias. The incidence of fetal growth restriction was 9.15%. Hypertension (odds ratio (OR): 59.75, 95% confidence interval (CI): 9.1–392.17), the heart disease types (ASD (OR: 4.27, 95% CI: 1.19–15.29) and tetralogy of Fallot (OR: 6.82, 95% CI: 1.21–38.55)), and the complications (heart failure (OR: 10.34, 95% CI: 2.75–38.87) and pulmonary edema (OR: 107.16, 95% CI: 4.96–2313.93)) were observed as risk factors for intrauterine growth restriction. This study provides a cornerstone to promote further studies and to motivate people to apply evidence-based medical care for mothers with diagnosed cardiac disease in the antenatal and postnatal periods.

Keywords: maternal outcomes; pregnant women; heart disease; risk factors (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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