Delivery mode and pregnancy outcome in pregnant women with heart failure

doi:10.3877/cma.j.issn.2095-6568.2018.03.006

Abstract

Abstract:

Objective

To investigate the delivery mode and pregnancy outcome in pregnant women with heart failure.

Methods

A total of 100 pregnant women with heart failure admitted to Jiaozhou People's Hospital from January 2017 to January 2018 were selected as the research objects, and the incidence of delivery modes (vaginal delivery and cesarean section) and adverse pregnancy outcomes (neonatal asphyxia, full-term low body mass, premature birth, perinatal death) were counted.

Results

Of the 100 pregnant women, 10 were NYHA grade Ⅰ, 49 were NYHA grade Ⅱ, 29 were NYHA grade Ⅲ and 12 were NYHA grade Ⅳ. The vaginal delivery rate of grade Ⅰ+ Ⅱ pregnant women was 52.54% (31/59), and that of grade Ⅲ+ Ⅳ pregnant women was 26.83% (11/41), and the difference was statistically significant (P<0.05). The incidence of neonatal asphyxia, full-term low body mass, premature delivery and perinatal mortality of grade Ⅰ+ Ⅱ pregnant women were lower than those of the control group, and the difference was statistically significant (P<0.05).

Conclusion

Heart function status of pregnant women with heart failure can have a significant impact on delivery mode and pregnancy outcomes. The higher the cardiac function classification, the higher the risk of cesarean section rate and adverse pregnancy outcomes.

Key words: Cardiac function classification, Pregnancy, Heart failure, Delivery mode, Pregnancy outcome

Peifen Dai, Yiying Wang. Delivery mode and pregnancy outcome in pregnant women with heart failure[J]. Chinese Journal of Heart and Heart Rhythm(Electronic Edition), 2018, 06(03): 146-148.

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URL: https://zhxzyxldzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-6568.2018.03.006

https://zhxzyxldzzz.cma-cmc.com.cn/EN/Y2018/V06/I03/146

心功能分级	例数	新生儿窒息	足月低体质量	早产	围生儿死亡
Ⅰ＋Ⅱ级	59	2(3.39)	3(5.08)	9(15.25)	1(1.69)
Ⅲ＋Ⅳ级	41	9(21.95)	9(21.95)	18(43.90)	6(14.63)
χ²值	?	6.722	5.017	10.073	4.392
P值	?	0.010	0.025	0.002	0.036

心功能分级	例数	新生儿窒息	足月低体质量	早产	围生儿死亡
Ⅰ＋Ⅱ级	59	2(3.39)	3(5.08)	9(15.25)	1(1.69)
Ⅲ＋Ⅳ级	41	9(21.95)	9(21.95)	18(43.90)	6(14.63)
χ²值	?	6.722	5.017	10.073	4.392
P值	?	0.010	0.025	0.002	0.036

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