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DOI :10.26650/IUITFD.2019.0031   IUP :10.26650/IUITFD.2019.0031    Full Text (PDF)

PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE

Ayşegül Özel, Kübra Hamzaoğlu, Eser Durmaz, Rıza Madazlı

Objective: To evaluate the outcomes of pregnancies with maternal heart disease. 

Material and Method: The results of 115 patients in our clinic between 2013 and 2018 were retrospectively analyzed. The type of heart disease and functional classification of the New York Heart Association were taken into consideration when evaluating the cases. 

Results: According to the New York Heart Association classification, the distribution of patients was 67.1% for stage I, 18.2% for stage II, and 14.7% for stage III–IV. There was no maternal or perinatal mortality. The incidence of rheumatic and congenital heart diseases was 51.3% and 27.8%, respectively. Maternal morbidity was observed in 18 cases (15.6%). Mean gestational age and birth weight were significantly higher in the stage I–II functional capacity group (p<0.001). Maternal morbidity and admission rates to neonatal intensive care unit were significantly higher in the stage III–IV functional capacity group (p<0.001). There was no significant difference between stage I–II and stage III–IV groups in terms of cesarean delivery rates and fetal growth restriction (p>0.05). 

Conclusion: It is possible to obtain satisfactory results for both mother and fetus in the majority of pregnant women with heart disease when managed with a multidisciplinary approach. 
Keywords: Heart disease, pregnancy, outcome
DOI :10.26650/IUITFD.2019.0031   IUP :10.26650/IUITFD.2019.0031    Full Text (PDF)

MATERNAL KALP HASTALIĞI OLAN 115 GEBELİK OLGUSUNUN SONUÇLARI

Ayşegül Özel, Kübra Hamzaoğlu, Eser Durmaz, Rıza Madazlı

Amaç: Maternal kalp hastalığı bulunan gebeliklerin sonuçlarını değerlendirmek. 

Gereç ve Yöntem: 2013-2018 yılları arasında bir kliniğimizdeki 115 maternal kalp hastalığı olan olgunun sonuçları retrospektif olarak incelenmiştir. Olgular değerlendirilirken kalp hastalıklarının türü ve New York Kalp Derneği’nin fonksiyonel sınıflaması göz önünde bulundurulmuştur. 

Bulgular: New York Kalp Derneği sınıflamasına göre hastaların dağılımı evre I için %67,1, evre II için %18,2, evre III–IV için ise %14,7 idi. Maternal ya da perinatal mortalite saptanmadı. Romatizmal ve konjenital kalp hastalıklarının görülme oranı sırasıyla %51,3 ve %27,8 olarak bulundu. Maternal morbidite 18 olguda (%15,6) gözlendi. Ortalama doğum haftası ve doğum kilosu evre I–II fonksiyonel kapasiteli grupta belirgin yüksekti (p<0,001). Maternal morbidite ve yenidoğan yoğun bakım ünitesine kabul oranları ise evre III–IV fonksiyonel kapasiteli grupta belirgin yüksekti (p<0,001). Evre I–II ve evre III–IV grupları arasında sezeryan ile doğum oranları ve fetal gelişim kısıtlılığı görülme sıklığı açısından anlamlı fark saptanmadı (p>0,05). 

Sonuç: Multidisipliner bir yaklaşımla yönetildiğinde kalp hastalığı bulunan gebelerin çoğunluğunda hem anne hem fetüs için memnun edici sonuçların alınması mümkündür. 
Keywords: Kalp hastalığı, gebelik, takip

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APA

Özel, A., Hamzaoğlu, K., Durmaz, E., & Madazlı, R. (2020). PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE. Journal of Istanbul Faculty of Medicine, 83(1), 17-22. https://doi.org/10.26650/IUITFD.2019.0031


AMA

Özel A, Hamzaoğlu K, Durmaz E, Madazlı R. PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE. Journal of Istanbul Faculty of Medicine. 2020;83(1):17-22. https://doi.org/10.26650/IUITFD.2019.0031


ABNT

Özel, A.; Hamzaoğlu, K.; Durmaz, E.; Madazlı, R. PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE. Journal of Istanbul Faculty of Medicine, [Publisher Location], v. 83, n. 1, p. 17-22, 2020.


Chicago: Author-Date Style

Özel, Ayşegül, and Kübra Hamzaoğlu and Eser Durmaz and Rıza Madazlı. 2020. “PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE.” Journal of Istanbul Faculty of Medicine 83, no. 1: 17-22. https://doi.org/10.26650/IUITFD.2019.0031


Chicago: Humanities Style

Özel, Ayşegül, and Kübra Hamzaoğlu and Eser Durmaz and Rıza Madazlı. “PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE.” Journal of Istanbul Faculty of Medicine 83, no. 1 (May. 2024): 17-22. https://doi.org/10.26650/IUITFD.2019.0031


Harvard: Australian Style

Özel, A & Hamzaoğlu, K & Durmaz, E & Madazlı, R 2020, 'PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE', Journal of Istanbul Faculty of Medicine, vol. 83, no. 1, pp. 17-22, viewed 27 May. 2024, https://doi.org/10.26650/IUITFD.2019.0031


Harvard: Author-Date Style

Özel, A. and Hamzaoğlu, K. and Durmaz, E. and Madazlı, R. (2020) ‘PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE’, Journal of Istanbul Faculty of Medicine, 83(1), pp. 17-22. https://doi.org/10.26650/IUITFD.2019.0031 (27 May. 2024).


MLA

Özel, Ayşegül, and Kübra Hamzaoğlu and Eser Durmaz and Rıza Madazlı. “PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE.” Journal of Istanbul Faculty of Medicine, vol. 83, no. 1, 2020, pp. 17-22. [Database Container], https://doi.org/10.26650/IUITFD.2019.0031


Vancouver

Özel A, Hamzaoğlu K, Durmaz E, Madazlı R. PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE. Journal of Istanbul Faculty of Medicine [Internet]. 27 May. 2024 [cited 27 May. 2024];83(1):17-22. Available from: https://doi.org/10.26650/IUITFD.2019.0031 doi: 10.26650/IUITFD.2019.0031


ISNAD

Özel, Ayşegül - Hamzaoğlu, Kübra - Durmaz, Eser - Madazlı, Rıza. “PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE”. Journal of Istanbul Faculty of Medicine 83/1 (May. 2024): 17-22. https://doi.org/10.26650/IUITFD.2019.0031



TIMELINE


Submitted03.04.2019
Accepted10.10.2019
Published Online13.01.2020

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