Outcome of cardiovascular surgery and pregnancy: a systematic review of the period 1984-1996
Details
Serval ID
serval:BIB_30D3C9F0FCEF
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Outcome of cardiovascular surgery and pregnancy: a systematic review of the period 1984-1996
Journal
American Journal of Obstetrics and Gynecology
ISSN
0002-9378
Publication state
Published
Issued date
12/1998
Peer-reviewed
Oui
Volume
179
Number
6 Pt 1
Pages
1643-53
Notes
Journal Article
Review --- Old month value: Dec
Review --- Old month value: Dec
Abstract
The outcomes of cardiovascular operations during pregnancy, at delivery, and post partum were reviewed from published material in the period 1984-1996. Surgery during pregnancy resulted in fetal-neonatal morbidity and mortality of 9% and 30%, respectively, and in maternal morbidity and mortality of 24% and 6%, respectively. Duration of pregnancy at surgery and duration and temperature of cardiopulmonary bypass did not influence fetal-neonatal outcome. Maternal complications and mortality of surgery immediately after delivery were 29% and 12%, respectively, and for surgery performed with a postpartum interval the respective rates were 38% and 14%. Hospitalization after week 27 of gestation and extreme emergency contributed significantly to poor maternal outcome. Maternal deaths were reported in 9% of valvular procedures and in 22% of aortic or arterial dissection repairs and pulmonary embolectomies. Fetal-neonatal risks of maternal surgery during pregnancy are high and unpredictable. Maternal risks of cardiovascular procedures during pregnancy are moderate, significantly increase if an operation is performed at or after delivery, and, overall, should be considered as higher than those in nonpregnant cardiovascular surgical patients.
Keywords
Cardiopulmonary Bypass/adverse effects
Cardiovascular Surgical Procedures/adverse effects/*statistics & numerical
data
Female
Fetal Death/epidemiology
Humans
Logistic Models
Maternal Mortality
Postoperative Complications/*epidemiology/mortality
Pregnancy
Pregnancy Complications, Cardiovascular/*surgery
Pregnancy Outcome/*epidemiology
Risk Factors
Pubmed
Web of science
Create date
14/02/2008 14:16
Last modification date
20/08/2019 13:15