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Title: | PREGNANCIES WITH PULMONARY HYPERTENSION SECONDARY TO CONGENITAL HEART DISEASE |
Authors: | Kaluarachchi, A De Alwis, D Gnanasekaram, R Gunawansa, N Wijerathne, C N Seneviratne, H R |
Issue Date: | 2012 |
Citation: | Kaluarachchi, A., De Alwis, D., Gnanasekeratn, R., Gunawansa, N., Wijeratne, C. N., & Seneviratne, H. R. (2012). PREGNANCIES WITH PULMONARY HYPERTENSION SECONDARY TO CONGENITAL HEART DISEASE. |
Abstract: | Introduction: Heart disease complicating pregnancy is a significant cause of maternal morbidity and mortality. Pulmonary hypertension (PHT) secondary to congenital heart disease (CHD ) is potentially a fatal condition. Objectives : To find the maternal and foetal outcome of pregnancies complicated with PH T secondary to congenital heart disease. Study Design : Retrospective descriptive study. Setting: University Obstetric Unit, De Soysa Hospital for Women, Colombo. Method : Data collected from the records of 77- consecutive mothers with congenital heart disease who delivered during the period from 01/09/98 to 30/11/ 00. Results: This study group consisted 77 mothers with CHD , their mean age=27.94yr (SD±5.22yr) and their mean parity was 1.58(SD+0.75). 41.6% (n=32) had Mitral Valve Prolapse, 33.7% (n=26) had Atrial Septal Defect (ASD) and 16.9% (n=13) had Ventricular Septal Defect (VSD). 18.4%(n=14) had PH T and 10 of them were in their 1 pregnancy. A S D was the primary lesion in 10 and VS D in 4. 16 put of 26 AS D patients and all VS D patients did not have corrective surgery done. None of the patients with PH T had undergone corrective surgery. The only two maternal deaths and two perinatal deaths were seen in the group with PHT. Conclusion : Despite the advancement of the health care services pregnancies complicated with PH T is not uncommon. Early surgical correction of congenital heart lesions and counseling of women of reproductive age group with PH T against pregnancy are two areas need addressing. |
URI: | http://archive.cmb.ac.lk:8080/xmlui/handle/70130/5924 |
Appears in Collections: | Articles (local / International) |
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pregnancies with pulmonary.pdf | 30.45 kB | Adobe PDF | View/Open |
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