Abstract

FAYAD SAETA, Yamilé; LOPEZ BARROSO, Reinaldo; ERASTO, Lardoeyt Soto  and  SAN PEDRO LOPEZ, María Isabel. Hearth disease and pregnancy. Rev Cubana Obstet Ginecol [online]. 2009, vol.35, n.4, pp. 30-40. ISSN 1561-3062.

Heart disease is the more frequent indirect maternal death cause at world scale and it is possible that the cardiopath pregnant figures increase in a future. Cardiovascular complication prevention is an essential objective of health system. Our hospital as Hearth disease and Pregnancy Reference Provincial Center has designed a protocol for assistance of this patient group. OBJECTIVE: to describe the maternal-perinatal results achieved applying the healthcare protocol. METHODS: a cross-sectional, prospective and descriptive study was made from January, 2004 to December, 2008 in Juan Bruno Zayas general Hospital including a sample of 435 cardiopaths. RESULTS: the 76,8 % of heart diseases were of acquired type, with a predominance of I functional degree, as well as the low risk heart diseases. The more frequent cardiovascular complication was the heart insufficiency for a 2,3 %. Included in perinatal morbidity was the great percentage of fetal development restriction (4,6 %) and preterm labor (3,4%). Maternal mortality was of 0,2% and perinatal mortality of 1,6 %). CONCLUSIONS: maternal and perinatal results achieved using healthcare protocol may be assessed as satisfactory.

Keywords : Hearth disease and pregnancy; maternal and perinatal results; Cuba.

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