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Valvular Heart Diseases and Pregnancy in Delivery Room at University Hospital Yalgado Ouedraogo

DOI: 10.4236/oalib.1103201, PP. 1-6

Subject Areas: Cardiology

Keywords: Valvular Heart Disease, Pregnancy, Delivery, Burkina Faso

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Abstract

Valvular heart diseases during pregnancy are complex with symptoms likely to affect patient’s life quality, and endanger both mother’s and child’s life. Our survey aims at studying the combination of valvular heart diseases with pregnancy at University Hospital Yalgado Ouedraogo. This study was a cross-sectional study conducted from January 1st, 2015 to March 31st, 2016 in the delivery room of gynecology and obstetrics department. Inclusion criteria were: the presence of acquired and known valvular heart diseases followed-up or not; suspected valvular heart disease confirmed by a Doppler echocardiography and patient’s consent to take part to the study. Twelve patients were involved in the study. The average age was 27.5 ± 3.9 years (extremes of 21 and 34 years). The average gestational age at the delivery time was 35 ± 4.7 weeks of amenorrhea with extremes reaching 25 and 39 weeks. None of the study patients were previously followed-up and treated for valvular heart diseases before pregnancy. Mitral disease was found among four patients. Seven cases had vaginal delivery. Two cases of spontaneous abortion were observed. We had seven hypotrophy newborns with an average weight of 2360 g at birth. Two patients suffering from congestive heart failure with a full type arrhythmia by atrial fibrillation were hospitalized in cardiology department. No death was reported during our study. Rheumatic valvular diseases are common among pregnant women. The cardiologist should plan pregnancies of patients suffering from valvular heart diseases. Treatment of those patients goes through the prevention of acute rheumatoid arthritis including a joint collaboration between cardiologists and gynecologists.

Cite this paper

Kologo, K. J. , Millogo, G. R. C. , Kinda, G. , Adoko, H. , Kambiré, Y. , Thiam/Tall, A. , Yaméogo, R. A. , Samadoulougou, A. K. and Zabsonré, P. (2016). Valvular Heart Diseases and Pregnancy in Delivery Room at University Hospital Yalgado Ouedraogo. Open Access Library Journal, 3, e3201. doi: http://dx.doi.org/10.4236/oalib.1103201.

References

[1]  Diallo, B., Sanogo, K., Diakité, S., et al. (2004) Pregnancy and Heart Failure Association: Socio-Demographics Particularities, Clinicals and Prognostic Element: Study of 20 Cases. Mali Med, XIX, 15-17.
[2]  Ben Aissia, N., Essid, I. and Gara Med, F. (2003) The Pregnancy and the Delivery Particularities at the Women Bearing of Rhumatismal Valvulopathy. Société Tunis Sci Médicales, 81, 334-338.
[3]  Habib, G., Hoen, B., Tornos, P., et al. (2009) Guidelines on the Prevention, Diagnosis, and Treatment of Infective Endocarditis (New Version 2009). European Heart Journal, 30, 2369-2413.
https://doi.org/10.1093/eurheartj/ehp285
[4]  Gewitz, M.H., Baltimore, R.S., Tani, L.Y., et al. (2015) Revision of the Jones Criteria for the Diagnosis of Acute Rheumatic Fever in the Era of Doppler Echocardiography: A Scientific Statement from the American Heart Association. Circulation, 131, 1806-1818.
https://doi.org/10.1161/CIR.0000000000000205
[5]  Iturbe-Alessio, I., Del Carmen Fonseca, M. and Mutchinik, O. (1986) Risk of Anticoagulant Therapy in Pregnant Woman with Artificial Heart Valves. New England Journal of Medicine, 315, 1390-1393.
https://doi.org/10.1056/NEJM198611273152205
[6]  Mansy, A., Zaky, M. and Abdelmeguid, I. (2003) Anticoagulation in Pregnant Women with Mechanical Heart Valve Prostheses. Journal of the Egyptian Society of Cardiothoracic Surgery, 4, 1-9.
[7]  Hanania, G., Thomas, D. and Michel, P. (1994) Pregnancy in Women with Valvular Prothesis: French Cooperative Retrospective Study. Archives des Maladies du Coeur et des Vaisseaux, 87, 429-437.
[8]  Belhani, A., Kachboura, S., Abdelkader, N., et al. (1990) Valvular Prothesis and Pregnancy. La Tunisie Médicale, 68, 597-602.
[9]  Al-Lawati, A. and Venkitraman, M. (2002) Pregnancy and Mechanical Heart Valves Replacement: Dilemma of Anticoagulation. European Journal Cardio-Thoracic Surgery, 22, 223-227.
https://doi.org/10.1016/S1010-7940(02)00302-0
[10]  Lupton, M., Oteng-Ntim, E., Ayida, G., et al. (2002) Cardiac Disease in Pregnancy. Current Opinion in Obstetrics and Gynecology, 14, 137-143.
https://doi.org/10.1097/00001703-200204000-00006
[11]  Sawhney, H., Aggarwal, N., Suri, V., et al. (2003) Maternal and Perinatal Outcome in Rheumatic Heart Disease. International Journal of Gynecology & Obstetrics, 80, 9-14.
https://doi.org/10.1016/S0020-7292(02)00029-2
[12]  European Society of Cardiology (2003) The Task Force on the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology. Expert Consensus Document on Management of Cardiovascular Diseases during Pregnancy. European Heart Journal, 24, 761-781.
https://doi.org/10.1016/S0195-668X(03)00098-8
[13]  Reimold, S. and Rutherford, J. (2003) Valvular Heart Disease in Pregnancy. New England Journal of Medicine, 349, 52-59.
https://doi.org/10.1056/NEJMcp021265
[14]  Hollande, J. (2000) Patient with Cardiovascular Disease Anesthesia for No Cardiac Surgery In: Le livre de linterne anesthesiology, Flammarion, Paris, 251-267.

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