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Karina Niken Pratiwi, MD - UCCVS2016
This study analyzed risk factors for delivering low birth weight neonates in pregnancies complicated by congenital valvular heart disease. The study collected data from 142 pregnancies with congenital heart disease over one year. Preterm birth was found to be a significant risk factor for low birth weight, with an adjusted odds ratio of 0.052. While multiparity showed a non-significant increased risk of low birth weight. The study concluded that preterm birth in women with congenital valvular heart disease is a risk factor for delivering low birth weight neonates.
Karina Niken Pratiwi, MD - UCCVS2016
- 1. Congenital valvular heartdisease in pregnancy : analyzing risk factors of delivering low birth weight neonates Karina Niken Pratiwi, Pangeran Akbar Syah, Ardhia Kusuma Putri, Oktavia Lilyasari, Radityo Prakoso
- 2. Background : Valvular Heart DIsease Christine M,Warrick MD, Jan E, et al. Prevalence and descriptive analysis of congenital heart disease in parturients : obstetric, nenonatal,and aesthetic outcomes
- 3. Fetus and neonateat risk of : SGA, Prematurity, IUFD, neonatal death, low birth weight Congenital cardiac lesions are 3 times higher than acquired Affecting heamodynamic changes Rao S, ginns JN. Adult congenitalheat disease and pregnancy. Seminars of perinatology. 2014
- 5. Methods Data were collectedthrough a year period from April 2013 – April 2014 in Cipto Mangunkusumo General Hospital Incomplete records were excluded 142 Pregnancy Complicated with Congenital Heart Disease 42 Congenital Heart Disease Diagnosed by clinical examination, electrocardiograph, laboratory, chest x-ray, echocardiograph examination • maternal age • parity • Ejection Fraction • Week of gestation • MAP • anemia during antenatal care (ANC), labor Risk Factors Bivariate and multivariate analysis using SPSS
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- 8. Variable p-value AdjustedOR* 95%CI Preterm birth 0.009* 0.052 0.006 – 0.483 Multiparous 0.169 0.312 0.059 – 1.642
- 9. DiscussionThis Study Otherstudies Prevalence Congenital Heart Disease in Pregnancy 142/ 4561 CHD in pregnancy 117/18.226 CHD in pregnancy (Warrick CM et al ) Prevalence Congenital Valvular Heart Disease in Pregnancy 30% (42/142) Valvular Heart Disease in pregnancy with CHD • Preterm birth (aOR 0.052) • Multiparous P<0.05 P>0.05 Premature birth rate appeared higher in patients with more complex CHD. Premature birth tend to deliver nenonates with low birth weight Warrick CM et al. Prevalence and descriptive analysis of congenital heart disease in parturients: obstetric, neonatal, and anesthetic outcomes. Journal of clinical Aesthesia. 2015
- 10. Conclusions Preterm birth inwomen with congenital valvular heart disease were the risk factor of Delivering low birth weight neonates.