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Revista Colombiana de Cardiología
versión impresa ISSN 0120-5633
Resumen
ACOSTA-CALDERON, Miguel L.; MUNERA-ECHEVERRI, Ana G.; MANRIQUE-HERNANDEZ, Rubén D. y VASQUEZ-TRESPALACIOS, Elsa M.. Maternal-fetal outcomes in pregnant women with World Health Organisation risk category III - IV in a tertiary care centre from 2006 to 2017. Rev. Colomb. Cardiol. [online]. 2020, vol.27, n.4, pp.240-249. Epub 18-Jun-2021. ISSN 0120-5633. https://doi.org/10.1016/j.rccar.2019.12.014.
Objective:
To describe the maternal-fetal outcomes in pregnant woman with risk classification of III-IV according to the World Health Organization (WHO).
Methods:
A review was carried out on the medical records of 41 pregnant women with WHO risk classification of III-IV, treated in a tertiary hospital in Medellin, Colombia. Demographic, clinical, and cardiac ultrasound variables were recorded on a form designed for this purpose. The primary variables were directed at evaluating the fetal and maternal outcomes. The statistical analysis was performed using IBM-SPSS software version 23.
Results:
The neonatal events rate was greater than the maternal events rate (68.3% vs. 31.7%). Primary and secondary outcomes occurred in 31.7% and 12.2%, respectively. The distribution according to WHO risk category was 7.3% in risk group III, and 92.7% in group IV. There was only one maternal death unrelated to cardiovascular disease. The presence of moderate-severe tricuspid insufficiency was associated with prematurity (P=.006), and the mothers with a pulmonary systolic pressure ≥ 50 mm Hg had a greater number of newborns with respiratory distress (P=.010). Right heart failure was associated with maternal death (P=.014) and prematurity (P=.019), whilst left heart failure was associated with neonatal death (P=.003).
Conclusions:
Maternal cardiovascular disease is a frequent cause of high maternal-fetal morbidity and mortality. Although this study identified the main maternal and fetal outcomes, studies with a greater sample size are required.
Palabras clave : Pregnancy; Cardiovascular disease; Maternal outcomes; Fetal outcomes.