RESUMO
Objectives: To study the maternal and fetal risks of pregnant women with congenital heart disease in our area at Prince Rashid Bin-Al-Hassan Hospital, Irbid-Jordan
Methods: This is a prospective study of pregnancy outcome in 106 women with congenital heart disease delivered during a period of three years between August 2007 and July 2010 at Prince Rashid Bin-Al-Hassan Hospital, Irbid-Jordan. Maternal and perinatal outcome and complications were evaluated for each patient
Results: Overall prevalence of pregnancy among women with congenital heart disease was 0.6%. Atrial septal defect was the commonest cardiac lesion diagnosed in our study 36.2%, with ventricular septal defect present in 28.6%. The majority of our patients were in New York Heart Association class-I and II- 95.3%. The most prevalent obstetric complications were hypertensive disorders [28.7%]. Most women had spontaneous vaginal deliveries, although 25.7% women underwent caesarean sections. The most prevalent neonatal complications were premature birth [9.9%], intrauterine growth restriction [37.6%], and perinatal mortality [2.97%]
Conclusion: Although congenital heart disease is uncommon amongst pregnant women, these pregnancies need to be carefully managed in a tertiary care setting by a multidisciplinary team including a specialist obstetrician and cardiologist, to ensure good maternal and fetal outcome