Good at heart: Developing a tertiary perinatal cardiac service; the first eight years of experience
| Autor: | Jennifer Johns, Alison M. Fung, Susan P. Walker, Wawrzyniec Rieder, Sarah Heland, Andrew Robinson, Adam de Chellis, T. Lancefield, Matthew Sleeman |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Heart disease medicine.medical_treatment 030204 cardiovascular system & hematology law.invention 03 medical and health sciences 0302 clinical medicine law Pregnancy Medicine Humans Caesarean section Retrospective Studies 030219 obstetrics & reproductive medicine business.industry Obstetrics Cesarean Section Infant Newborn Parturition Pregnancy Outcome Obstetrics and Gynecology Gestational age Cardiac arrhythmia Retrospective cohort study General Medicine medicine.disease Intensive care unit Premature Birth Female business Live birth |
| Zdroj: | The AustralianNew Zealand journal of obstetricsgynaecologyReferences. 60(5) |
| ISSN: | 1479-828X 2009-2016 |
| Popis: | BACKGROUND Maternal cardiac disease is the most common cause of indirect maternal death, and women with pre-existing cardiac disease have complex medical, obstetric and anaesthetic requirements. Our hospital commenced a multidisciplinary perinatal cardiac service in 2009 to optimise outcomes in women with cardiac disease. AIM To assess the maternal and perinatal outcomes of women referred to the clinic to evaluate clinical practice and inform future service provision. MATERIALS AND METHODS This is a single-centre retrospective study of women referred to the perinatal cardiac service between 2009-2016. Data collected included: demographic details; cardiac diagnosis; pregnancy outcomes, including anaesthetic and delivery complications, and admission to intensive care unit (ICU)/high dependency unit (HDU). RESULTS One hundred and fifty-two women were referred for care in 165 pregnancies. Congenital heart disease was the most common indication for referral (35%), followed by maternal cardiac arrhythmia (26%) and valvular disease (18%). The perinatal mortality rate was 2%, median gestational age at delivery was 38 weeks 4 days, fetal growth restriction (customised birthweight |
| Databáze: | OpenAIRE |
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