ABSTRACT
Introduction: Cardiac disease in pregnancy is still a major cause of maternal and fetal mortality. Although the reported incidence varies between 0.1 and 4%, 1–3 cardiac disease remains a significant cause of maternal death worldwide. The incidence of cardiac disease during pregnancy has remained stable for many years even with a significant decrease in the occurrence of rheumatic heart disease (RHD) as this decrease is being compensated by significant increase of pregnancy in women with congenital heart disease (CHD). Therefore, in this study, we aim to analyze the incidence of cardiac disease in pregnancy and to assess the maternal and fetal outcome. Materials and Methods: The retrospective study was carried out in 47 women with cardiac disease in a tertiary institute over a period of 2 years. Results: In the present study, incidence of cardiac disease at our centre was 0.081%. RHD was the most common heart disease in pregnancy (70.21%) followed by CHD (23.40%) and peripartum cardiomyopathy (6.38%). Among RHD, mitral valve stenosis was most common followed by mitral stenosis with mitral regurgitation. Number of vaginal deliveries was 36 and cesarean was done in 11 patients. Conclusions: A cardiac disease is a high-risk pregnancy. It is a multidisciplinary teamwork to have optimal maternal and fetal outcome. Hence, constant vigilance is required throughout antenatal, intrapartum, and postpartum period to avoid adverse outcomes.
ABSTRACT
Alas! Where gone the days when women held a high place of respect in the society as mentioned in Rigveda and other religious scriptures. Bulk of literature can be written about the status of our women and their heroic deeds from Vedic period to modern times. Terrorism in this part of the world usually means bombs exploding or hotels burning. Our news papers, news channels and T.V. programmes are flooded with the new, more potential, emerging form of terrorism (violence) against the half of the world. This paper makes an attempt to analyze the violence and atrocities against the women or this new emerging form of terrorism. The growing incidence of flinging acid on a woman‟s face, female foeticide, gang rape, eve-teasing question the Indian sensitivity for women. Of all the rich G20 nations, India has been labeled the worst place for a woman. The question is why such social evils. The traditional and conservative attitude on the part of parents and moral erosion and romantic relationship on the part of young generation have contributed in making India a place of hell for women. Even some religious preachers unfortunately using Religion as a platform have left no stone unturned in making the situation more startling like self- styled Gulzar Peer from crown of India, Kashmir which was once called Resh Waer.Can we afford a society without women? This paper attempts to highlight the deadly consequences of this terrorism and the role of Education, NGO, Religious preachers in developing a global village where women are viewed as equal and valuable partners in society, thereby bringing back the lost status of women.