An analysis of 50 cases of single-center pregnancy complicated with congenital heart disease in Xizang
Objective To investigate the effects of single center pregnancy complicated with congenital heart disease on maternal women and perinatal infants in the Xizang Plateau area.Methods The clinical data of 50 pregnant wom-en with congenital heart disease who gave birth in the obstetrics department of the People's Hospital of Xizang Auton-omous Region from March 2018 to March 2023 were retrospectively analyzed.Ten women who underwent corrective cardiac surgery before pregnancy were selected as the observation group,and another 40 pregnant women who did not undergo corrective cardiac surgery before pregnancy were used as the control group.The cardiac function level,neonatal Apgar score and perinatal outcomes of the two groups were analyzed and compared.Results Among the 50 cases,the main types of congenital heart disease were atrial septal defect(52%)and patent ductus arteriosus(28%).The cardiac function of patients undergoing cardiac surgery before pregnancy was mainly grade I to II,and that of pa-tients without cardiac surgery before pregnancy was mainly grade III to IV.The comparison between the two groups was P<0.05,which was statistically significant.There was 1 case of preterm birth in the observation group(10%)and 21 cases in the control group(52.5%),and the P<0.05 between the two groups was statistically significant.There was one case(10%)of neonatal asphyxia in the observation group and 24 cases(60%)in the control group,and the P<0.05 between the two groups was statistically significant.The 5-minute Apgar score of neonates in the obser-vation group was(9.8±0.1),and that in the control group was(8.2±0.2),and the P<0.05 was statistically significant between the two groups.The body weight of neonates in the observation group was(3003.5±166.1),and that in the control group was(2500.5±92.5),and the comparison between the two groups was P<0.05,which was statistically significant.Conclusion The corrective cardiac surgery before pregnancy can significantly reduce the incidence of preterm birth and neonatal complications,improve the cardiac condition of pregnant women,and pregnant women without surgical contraindications should actively treat congenital heart disease before pregnancy.
NETL
NSTL
万方数据
维普
