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- Title
Pregnancy outcome in women with an uncorrected single ventricle: A single-centre experience from South India.
- Authors
Keepanasseril, Anish; Raj, Ashwini; Pillai, Ajith Ananthakrishna; Baghel, Jyoti; Plakkal, Nishad; Satheesh, Santhosh
- Abstract
Background: Women with an uncorrected single ventricle heart are at increased risk of adverse maternal and perinatal outcomes. Methods: We report our experience of managing pregnant women with uncorrected single ventricles, during the time period 2011 to 2017, in a low-resource setting and compare pregnancy outcome with healthy concurrent controls. Outcomes assessed include the mode of delivery, maternal complications, neonatal death and birth weight. Results: There were six pregnant women with uncorrected single ventricles who had a total of 14 pregnancies. There was one maternal death in a woman with atrioventricular-septal defect and Eisenmenger syndrome. Caesarean section rates and preterm delivery were similar, whereas perinatal loss and low-birth weight rates were higher among women with a single ventricle compared to healthy controls. Conclusion: Unplanned pregnancies without prenatal counselling/care pose a challenge to physicians especially in low to middle income countries and with the high risk of morbidity/mortality, pregnancy should be discouraged.
- Subjects
INDIA; CONGENITAL heart disease; HEART ventricles; MATERNAL health services; EVALUATION of medical care; PERINATAL death; PREGNANCY; PREGNANCY complications; UNPLANNED pregnancy; DISEASE risk factors
- Publication
Obstetric Medicine (1753-495X), 2020, Vol 13, Issue 3, p137
- ISSN
1753-495X
- Publication type
Article
- DOI
10.1177/1753495X19845822