Obstetrical outcomes in cases of maternal ...
Document type :
Article dans une revue scientifique: Article original
PMID :
Permalink :
Title :
Obstetrical outcomes in cases of maternal heart disease with a risk of cardiac decompensation: a retrospective study since the establishment of a multidisciplinary consultation meeting \"heart and pregnancy\".
Author(s) :
Demeyère, Mathilde [Auteur]
Hôpital Jeanne de Flandre [Lille]
Richardson, Marjorie [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Deken, Valerie [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Estevez, Max Gonzalez [Auteur]
Hôpital Jeanne de Flandre [Lille]
Domanski, Olivia [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Gautier, Sophie [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Marsili, Luisa [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Constans, Benjamin [Auteur]
Hôpital Jeanne de Flandre [Lille]
Ould Hamoud, Yasmine [Auteur]
Hôpital Jeanne de Flandre [Lille]
Ghesquière, Louise [Auteur]
Hôpital Jeanne de Flandre [Lille]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Hôpital Jeanne de Flandre [Lille]
Richardson, Marjorie [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Deken, Valerie [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Estevez, Max Gonzalez [Auteur]
Hôpital Jeanne de Flandre [Lille]
Domanski, Olivia [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Gautier, Sophie [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Marsili, Luisa [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Constans, Benjamin [Auteur]
Hôpital Jeanne de Flandre [Lille]
Ould Hamoud, Yasmine [Auteur]
Hôpital Jeanne de Flandre [Lille]
Ghesquière, Louise [Auteur]
Hôpital Jeanne de Flandre [Lille]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Journal title :
Journal of Gynecology Obstetrics and Human Reproduction
Abbreviated title :
J Gynecol Obstet Hum Reprod
Pages :
102537
Publication date :
2023-01-21
ISSN :
2468-7847
English keyword(s) :
Maternal heart disease
Obstetrical outcomes
Obstetrical outcomes
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
Background
Pregnant women with chronic heart failure (CHF) are at increased risk for cardiac complications. However, the frequency of obstetrical and neonatal complications in pregnant women with CHF remains ...
Show more >Background Pregnant women with chronic heart failure (CHF) are at increased risk for cardiac complications. However, the frequency of obstetrical and neonatal complications in pregnant women with CHF remains unclear. Objective The objective of our study was to describe obstetrical and neonatal outcomes in pregnant with CHF. Method This single-center retrospective cohort study involves pregnant women with a CHF who delivered at Jeanne de Flandre, the Lille's university hospital, from 2017 to 2021. The frequency of obstetrical, neonatal, and cardiovascular complications was collected. Result During this period, we identified 26 pregnant women with a CHF. The main cardiac diseases responsible for CHF were cardiomyopathies (53.8%) and congenital heart disease (46.2%). Acute heart failure occurred in 30.8% of the cases and mainly concerned patients with no follow-up of their heart disease. The main obstetrical complications were fetal growth restriction (38.5%) and premature rupture of fetal membranes (19.2%). The 26 pregnancies comprised 25 live births and 1 stillbirth. Newborn infants were delivered via cesarean in 69.2%. Of the live births, 60% were preterm at a median gestational age of 36 (34–38) weeks. Conclusion Pregnant women with CHF had a higher risk for obstetrical and neonatal outcomes.Show less >
Show more >Background Pregnant women with chronic heart failure (CHF) are at increased risk for cardiac complications. However, the frequency of obstetrical and neonatal complications in pregnant women with CHF remains unclear. Objective The objective of our study was to describe obstetrical and neonatal outcomes in pregnant with CHF. Method This single-center retrospective cohort study involves pregnant women with a CHF who delivered at Jeanne de Flandre, the Lille's university hospital, from 2017 to 2021. The frequency of obstetrical, neonatal, and cardiovascular complications was collected. Result During this period, we identified 26 pregnant women with a CHF. The main cardiac diseases responsible for CHF were cardiomyopathies (53.8%) and congenital heart disease (46.2%). Acute heart failure occurred in 30.8% of the cases and mainly concerned patients with no follow-up of their heart disease. The main obstetrical complications were fetal growth restriction (38.5%) and premature rupture of fetal membranes (19.2%). The 26 pregnancies comprised 25 live births and 1 stillbirth. Newborn infants were delivered via cesarean in 69.2%. Of the live births, 60% were preterm at a median gestational age of 36 (34–38) weeks. Conclusion Pregnant women with CHF had a higher risk for obstetrical and neonatal outcomes.Show less >
Language :
Anglais
Audience :
Internationale
Popular science :
Non
Administrative institution(s) :
Université de Lille
CHU Lille
CHU Lille
Submission date :
2023-11-15T02:35:25Z
2024-03-29T12:24:01Z
2024-03-29T12:24:01Z