alexa The Effect of Mitral Stenosis on Maternal and Fetal Outcome in Pregnancy | OMICS International | Abstract
ISSN: 2155-9880

Journal of Clinical & Experimental Cardiology
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Research Article

The Effect of Mitral Stenosis on Maternal and Fetal Outcome in Pregnancy

Şerafettin Demir1*, Abdi Bozkurt2, Onur Akpinar3, Selim Buyukkurt2, Oguz Akkus2, Ahmet Demir4, Mustafa Kemal Avsar5, Gulsah Seydaoglu2 and Esmeray Acarturk2
1Adana Public Hospital, Department of Cardiology, 01270, Adana, Turkey
2Çukurova University, School of Medicine, Department of Cardiology and Biostatistics, 01330, Adana, Turkey
3Adana Medline Metropark Hospital, Department of Cardiology Adana, Turkey
4Antalya Education and Research Hospital, Plastic and Reconstrictive Surgery, Antalya, Turkey
5Cardiovascular Surgery Department, Cukurova University, Adana, Turkey
Corresponding Author : Serafettin Demir, MD
Department of Cardiology
Adana Public Hospital
01270, Adana, Turkey
Tel: +90 533 627 1991
Fax: +90 533 627 1991
E-mail: [email protected]
Received December 11, 2012; Accepted February 28, 2013; Published March 02, 2013
Citation: Demir Ş, Bozkurt A, Akpinar O, Buyukkurt S, Akkus O, et al. (2013) The Effect of Mitral Stenosis on Maternal and Fetal Outcome in Pregnancy. J Clin Exp Cardiolog 4:237. doi:10.4172/2155-9880.1000237
Copyright: © 2013 Demir Ş, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Objectives: The aim of the study was evaluate maternal and fetal outcomes of mitral stenosis at pregnant women. Methods: Forty-one pregnant woman with moderate and severe mitral stenosis were enrolled in the study. Predictor variables were the apgar score, new born weight and delivery week. Progression of NYHA functional class, thromboembolism, death, new onset atrial fibrillation was accepted as maternal event. Abortion, fetal or neonatal death, prematurity or low birth weight were accepted as fetal events. Results: In newborn babies, 10 were followed-up in intensive care. The mothers of these infants had higher LA diameters, their MVA’s were smaller and the pulmonary hypertension was higher.It was observed that the LA diameter and warfarin treatment were independent risk factors for the need for intensive care. The NYHA was primarily dependent from the LA diameter, followed by the MVA, mean difference in the pressure and the pulmonary artery pressure (PAP).The independent risk factors of the birth weight and the 1st min. and 5th min. Apgar scores, only the LA diameter was found as significant. Also, the independent risk factors of the gestational age at birth are the NYHA classification and the MVA. Warfarin treatment in the mother has also been observed as a risk factor for IUGR. Conclusion: These results reveal that especially patients with mitral stenosis should be closelymonitored throughout their pregnancy.

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