Outcome Analysis Of 85 Cases Of Pregnancy With Heart Disease

Background: Pregnancy with heart disease is by far one of the most common obstetric complications in our country,is our country the first cause of death in pregnant women not direct obstetric factors,at the same time also is around one of the important causes of death.During pregnancy,pregnant women hemodynamic change will make the heart original load increase sharply,especially in patients with heart disease,often because of the complicated with different degree of pulmonary hypertension,more prone to heart failure,and even death.Therefore,how to and the occurrence of adverse outcomes in patients with pregnancy with heart disease to make correct and effective assessment,as much as possible to reduce the incidence of maternal and infant complications,and improve the pregnancy outcome is one of the major problems to be solved at present.Objective: to study the different cardiac function in pregnancy with heart disease and heart before delivery diorthosis effects on maternal and infant outcomes.Methods: Collected from March 2013 to March 2016,three years in the second affiliated hospital of nanchang university childbirth the clinical data of 85 cases of pregnancy with heart disease patients,and the merger of the type of heart disease,cardiac function classification,is associated with pulmonary hypertension and their way of childbirth and pregnancy outcomes were analyzed.Results: Collected the data of 85 cases of pregnancy with heart disease patients,the largest proportion of pregnancy with CHD,a total of 48 cases(56.5%),followed by pregnancy with RHD20 cases(23.5%).48 cases of CHD pregnant women mainly merged room and room affluent,20 patients with RHD pregnant women is given priority to with combination of rheumatic mitral stenosis,sinus tachycardia and atrioventricular block more see in pregnancy with arrhythmia.All the pregnancy with arrhythmia patients and most of the pregnancy with CHD patients with cardiac function classification is relatively good,mainly concentrated in Ⅰ ~ Ⅱ level,and pregnancy with RHD patients cardiac function Ⅲ ~ Ⅳ grade proportion is higher.16cases(23.9%),cardiac function grade Ⅰ ~ Ⅱ pregnancy in patients with cardiac orthodontic treatment,the other 6 cases(33.3%),cardiac function Ⅲ ~ Ⅳ pregnancy in patients with cardiac orthodontic treatment.Cardiac function Ⅲ ~ Ⅳ level is the average delivery gestational age is much shorter than Ⅰ ~ Ⅱ level,wai begat incidence of aderse outcome is significantly higher than Ⅰ ~ Ⅱ level.Data in 85 cases of group,cardiac function Ⅰ ~ Ⅱ level of 67 cases,cardiac function Ⅲmagnitude Ⅳ ~ 18 cases,compared with the control group,the combination of the two pregnant women and heart disease the cesarean section rate were higher(P <0.05).Heart function and class Ⅲ ~ Ⅳ heart function of patients than class Ⅰ ~ Ⅱpregnancy with heart disease patients with cesarean section rate higher,(the difference was statistically significant,P < 0.05).Maternal in the control group and observation group were no death occurred.But with the rising of maternal cardiac function level,the incidence of maternal and infant complications increased significantly,the difference was statistically significant(P < 0.05).In pregnancy with CHD and RHD patients,the heart of the pregnancy before the corrective surgery in22 cases,48 cases no surgery was performed,compared with control group,the scores and those who did not have a high rate of cesarean section(P < 0.05),but the cesarean delivery rate between the two there was no significant difference(P > 0.05).But scores of pregnant women in pregnancy and the incidence of complications such as pulmonary hypertension and heart failure during delivery than those who did not reduce the(difference was statistically significant,P < 0.05),and the incidence of neonatal complications such as premature labor,asphyxia and death also significantly lower(difference was statistically significant,P < 0.05).Conclusion:1.Good if pregnancy with heart disease in patients with cardiac function(cardiac function Ⅰ to Ⅱ)generally can tolerate a pregnancy,and most can through vaginal delivery,and outcomes.2.Cardiac function grade Ⅲ ~ Ⅳ or complicated with pulmonary hypertension patients should line of cesarean section,termination of pregnancy can reduce maternal aderse outcome.3.The bad influence of pregnancy with heart disease on perioperative begat preterm labor,fetal intrauterine growth retardation,neonatal asphyxia and death.4.Heart patients undergoing heart before pregnancy corrective surgery from a certain extent,canreduce the pregnant women,pregnancy complications during delivery.