Abstract:
Introduction: Heart disease complicating pregnancy
is a significant cause of maternal morbidity and
mortality. Pulmonary hypertension (PHT) secondary
to congenital heart disease (CHD ) is potentially a fatal
condition.
Objectives : To find the maternal and foetal outcome
of pregnancies complicated with PH T secondary to
congenital heart disease.
Study Design : Retrospective descriptive study.
Setting: University Obstetric Unit, De Soysa Hospital
for Women, Colombo.
Method : Data collected from the records of 77-
consecutive mothers with congenital heart disease who
delivered during the period from 01/09/98 to 30/11/
00.
Results: This study group consisted 77 mothers with
CHD , their mean age=27.94yr (SD±5.22yr) and their
mean parity was 1.58(SD+0.75).
41.6% (n=32) had Mitral Valve Prolapse, 33.7%
(n=26) had Atrial Septal Defect (ASD) and 16.9%
(n=13) had Ventricular Septal Defect (VSD).
18.4%(n=14) had PH T and 10 of them were in their
1 pregnancy.
A S D was the primary lesion in 10 and VS D in 4.
16 put of 26 AS D patients and all VS D patients did
not have corrective surgery done.
None of the patients with PH T had undergone
corrective surgery.
The only two maternal deaths and two perinatal deaths
were seen in the group with PHT.
Conclusion : Despite the advancement of the health
care services pregnancies complicated with PH T is not
uncommon. Early surgical correction of congenital
heart lesions and counseling of women of reproductive
age group with PH T against pregnancy are two areas
need addressing.
