OBJECTIVES: To evaluate the maternal and fetal outcome of pregnancies complicated by @entity299 in a developing country. METHODS: A retrospective analysis was carried out of 207 pregnancies in @entity1 with @entity299 who delivered at >or=28 weeks of gestation from June 1994 through December 2000 at a tertiary care center. RESULTS: @entity6331 (n=183, 88%) with isolated @entity4794 (n=71) was the predominant cardiac problem. @entity1757 were the most common form of @entity299 (n=24). In 28 (13.52%) @entity1 , the diagnosis of @entity299 was made during pregnancy. @entity299 were noted in 62 (29.95%) and fetal complications in 42 (20.28%) pregnancies. @entity1 in NYHA class I/II (n=175, 84.54%) had fewer maternal complications and their babies had a higher birth weight than those in NYHA class III/IV (n=32, 15.45%). Cardiac intervention was performed prior to pregnancy in 111 (60.65%) @entity1 with @entity6331 : PTMC/ @entity2834 in 73 and valve replacement (VR) in 38. Maternal and fetal outcome was better in @entity1 with prosthetic valves (n=38) and the majority (97.4%) of them remained in NYHA class I/II. Cardiac intervention was safely carried out during pregnancy in 10 @entity1 (PTMC in 7, @entity2834 in l, and VR in 2). One of them developed @entity712 during labor. None of the newborns of the 41 @entity1 who had received anticoagulants had any @entity600 . CONCLUSIONS: @entity6331 was the predominant type. @entity1 in NYHA class I/II had a better maternal and fetal outcome than those in NYHA class III/IV. Surgical correction of the @entity299 prior to pregnancy was associated with better pregnancy outcome. Pregnant @entity1 with prosthetic valves tolerated pregnancy well.

XXXX in pregnancy.

@entity1 :: ('9606', 'Species') :: ['women', 'Patients', 'patients'] @entity6331 :: ('MESH:D012214', 'Disease') :: ['Rheumatic heart disease', 'rheumatic heart disease'] @entity712 :: ('MESH:D006333', 'Disease') :: ['congestive cardiac failure'] @entity1757 :: ('MESH:D006345', 'Disease') :: ['Septal defects'] @entity299 :: ('MESH:D006331', 'Disease') :: ['cardiac lesion', 'cardiac disease', 'congenital heart disease', 'Cardiac complications'] @entity600 :: ('MESH:D000014', 'Disease') :: ['congenital malformation'] @entity2834 :: ('12305', 'Species') :: ['CMV'] @entity4794 :: ('MESH:D008946', 'Disease') :: ['mitral stenosis']
@entity299 :: (MESH:D006331,Disease) :: ['Cardiac disease']
