合并结构性心脏病孕妇的妊娠结局分析

doi:10.3969/j.issn.1671-7171.2023.10.001

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Abstract 【Objective】To investigate the pregnancy outcomes of pregnant women with structural heart disease.【Method】The clinical data of 40 pregnant women diagnosed with structural heart disease (observation group) and 80 healthy pregnant women (control group) were retrospectively analyzed, and the pregnancy outcomes of the two groups were compared.【Results】Among the 40 pregnant women with structural heart disease, 10 cases (10/40,25.00%) were rheumatic heart disease and 30 cases (30/40,75.00%) were congenital heart disease.The incidences of stillbirth, premature birth, iatrogenic fetal loss,perinatal mortality,ICU admission,cesarean section,NICU admission in the case group were higher than those in the control group (P<0.05).The birth weight, Apgar score at 1 and 5 minutes and the gestational age of neonates in the case group were lower than those in the control group (P<0.05).The incidences of premature birth, perinatal death, cesarean section and NICU admission in the NYHA grade Ⅲ-Ⅳ group were higher than those in NYHA grade Ⅰ-Ⅱ group (P<0.05).The birth weight and the gestational age of neonates in the NYHA grade Ⅲ-Ⅳ group were lower than those in NYHA grade Ⅰ-Ⅱ group (P<0.05).【Conclusion】There is a high incidence of adverse pregnancy outcomes in pregnant women with structural heart disease, especially in those with NYHA grade Ⅲ-Ⅳ.

Key words： Pregnancy Heart Diseases Pregnancy Outcome

Received: 21 August 2023

PACS:

R541.61

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2023.10.001 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2023/V40/I10/1441

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