open access

Online first
Original article
Published online: 2021-04-29
Get Citation

Pregnancy-related, nonelective cardiac hospitalizations and pregnancy outcomes: a tertiary referral cardiac center experience

Magdalena Lipczyńska, Kamila Janisz, Piotr Szymański, Elżbieta K. Biernacka, Katarzyna Hanus-Durlej, Marzena Dębska, Ilona Kowalik, Anna Drohomirecka, Joanna Zakrzewska-Koperska, Agnieszka Sioma, Karolina Kryczka, Aleksander Prejbisz, Piotr Hoffman
Pubmed: 33926168

open access

Online first
Original article
Published online: 2021-04-29

Abstract

ABSTRACT Background: Pregnant women with cardiovascular diseases (CVD) and their offspring are at increased morbidity and mortality. Aims: To provide data on pregnancy outcomes among women with different typesof CVD requiring non-elective cardiac hospitalization in atertiary referral cardiac center. Methods: We identified all records of non-elective hospitalizations of pregnant women hospitalized between January 2009 through March 2018, at our institution-a tertiary referral cardiaccentre. The incidence and type of cardiac complications during pregnancy as well as the pregnancy and offspring outcomeswere determined. Results: 161 out of 328 pregnancy-related hospitalizations in140 pregnancies were non-elective. Cardiac complications occurred in 62 (44%) of pregnancies, with the most frequent being: episodesof arrhythmia (22.1% pregnancies), followed by heart failure exacerbations(6.4% pregnancies). Maternal mortality reached 2.1% and affected only women with primary cardiomyopathies (CMP). Offspring mortality was 2.8%. Newborns of mothers with cardiac complications had significantly lower Apgar scoresand gestational age at delivery,compared to mothers without cardiac complications. Conclusions: In our series mortality and morbidity among pregnant women with CVD hospitalizations werehigh. An unfavorable maternal outcome mainly affected women with CMP. Offspringof mothers with cardiovascular complications are prone to have a lowergestational age and Apgar score.

Abstract

ABSTRACT Background: Pregnant women with cardiovascular diseases (CVD) and their offspring are at increased morbidity and mortality. Aims: To provide data on pregnancy outcomes among women with different typesof CVD requiring non-elective cardiac hospitalization in atertiary referral cardiac center. Methods: We identified all records of non-elective hospitalizations of pregnant women hospitalized between January 2009 through March 2018, at our institution-a tertiary referral cardiaccentre. The incidence and type of cardiac complications during pregnancy as well as the pregnancy and offspring outcomeswere determined. Results: 161 out of 328 pregnancy-related hospitalizations in140 pregnancies were non-elective. Cardiac complications occurred in 62 (44%) of pregnancies, with the most frequent being: episodesof arrhythmia (22.1% pregnancies), followed by heart failure exacerbations(6.4% pregnancies). Maternal mortality reached 2.1% and affected only women with primary cardiomyopathies (CMP). Offspring mortality was 2.8%. Newborns of mothers with cardiac complications had significantly lower Apgar scoresand gestational age at delivery,compared to mothers without cardiac complications. Conclusions: In our series mortality and morbidity among pregnant women with CVD hospitalizations werehigh. An unfavorable maternal outcome mainly affected women with CMP. Offspringof mothers with cardiovascular complications are prone to have a lowergestational age and Apgar score.
Get Citation
About this article
Title

Pregnancy-related, nonelective cardiac hospitalizations and pregnancy outcomes: a tertiary referral cardiac center experience

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Online first

Article type

Original article

Published online

2021-04-29

Pubmed

33926168

Authors

Magdalena Lipczyńska
Kamila Janisz
Piotr Szymański
Elżbieta K. Biernacka
Katarzyna Hanus-Durlej
Marzena Dębska
Ilona Kowalik
Anna Drohomirecka
Joanna Zakrzewska-Koperska
Agnieszka Sioma
Karolina Kryczka
Aleksander Prejbisz
Piotr Hoffman

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By VM Media Sp. z o.o. VM Group Sp.k., ul. Świętokrzyska 73 , 80–180 Gdańsk, Poland

phone:+48 58 320 94 94, fax:+48 58 320 94 60, e-mail: viamedica@viamedica.pl