Perinatal outcome in pregnant patients with moderately severe mitral stenosis

ABSTRACT

To determine the frequencies of prematurity, low birth weight babies and perinatal deaths in pregnant women presenting with moderately severe mitral stenosis. Descriptive case series. Department of Obstetrics and Gynecology, Jinnah Postgraduate Medical Centre Karachi, from October 2008 till April 2009. Pregnant women with moderately severe mitral stenosis [mitral valve area <2cm2] fulfilling inclusion criteria, selected through antenatal clinic were included in the study. Perinatal outcome in terms of prematurity, low birth weight, and perinatal mortality were assessed. There werea total of 54 pregnant women with moderately severe mitral stenosis managed during the study period. Preterm babies numbered 22[40.7%], low birth weight babies [<2.5kgs] were found in 17 [31.5%] cases and perinatal mortality seen in 7[13%] cases. Encouraging perinatal outcome was observed in this study which was targeting very high risk cardiac patients