Obstetrical outcomes in cases of maternal heart disease with a risk of cardiac decompensation: A retrospective study since the establishment of a multidisciplinary consultation meeting "heart and pregnancy".

Autor: Demeyère M; Pôle Femme Mère Nouveau-né, obstetrics clinic, Hôpital Jeanne de Flandre, Université Nord de France, Lille, France., Richardson M; Department of Cardiovascular Functional Explorations, Heart-Lung Institute, University Hospital of Lille, Lille, France., Deken V; Biostatistics Department, Lille University Hospital, Lille, France., Estevez MG; Department of Anesthesiology and Intensive Care, Jeanne de Flandre Hospital, University Hospital of Lille, Lille, France., Domanski O; Department of Pediatric Cardiology, Heart-Lung Institute, University Hospital of Lille, Lille, France., Gautier S; Centre Régional de Pharmacovigilance, CHRU de Lille, 1, place de Verdun, 59045 Lille Cedex, France., Marsili L; Genetics Clinic, CHU Lille, Lille, France., Constans B; Department of Anesthesiology and Intensive Care, Jeanne de Flandre Hospital, University Hospital of Lille, Lille, France., Hamoud Y; Pôle Femme Mère Nouveau-né, obstetrics clinic, Hôpital Jeanne de Flandre, Université Nord de France, Lille, France., Ghesquière L; Pôle Femme Mère Nouveau-né, obstetrics clinic, Hôpital Jeanne de Flandre, Université Nord de France, Lille, France; University of Lille, CHU de Lille, ULR2694 METRICS, Health Technology and Medical Practice Assessment, F-59000 Lille, France. Electronic address: louise.ghesquiere@chu-lille.fr.
Jazyk: angličtina
Zdroj: Journal of gynecology obstetrics and human reproduction [J Gynecol Obstet Hum Reprod] 2023 Mar; Vol. 52 (3), pp. 102537. Date of Electronic Publication: 2023 Jan 17.
DOI: 10.1016/j.jogoh.2023.102537
Abstrakt: Background: Pregnant women with chronic heart failure (CHF) are at increased risk for cardiac complications. However, the frequency of obstetrical and neonatal complications in pregnant women with CHF remains unclear.
Objective: The objective of our study was to describe obstetrical and neonatal outcomes in pregnant with CHF.
Method: This single-center retrospective cohort study involves pregnant women with a CHF who delivered at Jeanne de Flandre, the Lille's university hospital, from 2017 to 2021. The frequency of obstetrical, neonatal, and cardiovascular complications was collected.
Result: During this period, we identified 26 pregnant women with a CHF. The main cardiac diseases responsible for CHF were cardiomyopathies (53.8%) and congenital heart disease (46.2%). Acute heart failure occurred in 30.8% of the cases and mainly concerned patients with no follow-up of their heart disease. The main obstetrical complications were fetal growth restriction (38.5%) and premature rupture of fetal membranes (19.2%). The 26 pregnancies comprised 25 live births and 1 stillbirth. Newborn infants were delivered via cesarean in 69.2%. Of the live births, 60% were preterm at a median gestational age of 36 (34-38) weeks.
Conclusion: Pregnant women with CHF had a higher risk for obstetrical and neonatal outcomes.
(Copyright © 2023 Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
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