Gambaran Komplikasi Kehamilan dengan Penyakit Jantung di RSUD Arifin Achmad Provinsi Riau Periode 2013-2017

Muhammad Arif Syafei, Donel Suhaimi, Irwan Irwan

Abstract

Heart disease is the major non-obstetric cause of morbidity and mortality in pregnancy. Several studies showed that pregnancy with heart diseases are related to maternal and perinatal complications such as mortality, heart failure, arrhytmias, pulmonary oedema, low birth weight, and prematurity. The aim of this study is to know the incidence, characteristic, and complications of pregnancy with heart disease. This study was using descriptive retrospective design with total sampling technique. The sources of data were medical records of patients in January 2013 – December 2017 with number of sample is 37 patients. Cardiac complications was found in 19 (57,6%) cases that was composed of arrhytmias (24,2%), prematurity (21,2%), pulmonary oedema and low birth weight both 15,2%, and heart failure (9,1%).

Keywords

pregnancy, heart disease, complication

References

Stangl V, Schad J, Gossing G, Borges A, Baumann G, Stangl K. Maternal heart disease and pregnancy outcome: a single-centre experience. Eur J Heart Fail. 2008;10(9):855–60.

Ashrafi R, Curtis SL. Heart disease and pregnancy. Cardiol Ther. 2017;6(2):157–59.

Say L, Chou D, Gemmil A, Tunçalp Ö, Moller AB, Daniels J, et al. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Heal. 2014;2(6):323–33.

Zagrosek VR, Hesselink JWR, Bauersachs J, Lundqvist CBL, Cifkova R, Bonis MD, et al. 2018 ESC guidelines on the management of cardiovascular diseases during pregnancy. Eur Heart J. 2018;39(34):3165–203.

MBRRACE-UK. Saving lives, improving mothers’ care- lessons learned to inform maternity care from the UK and Ireland confidential enquiries into maternal deaths and morbidity 2013–15. [Internet]. 2017.

Kementerian Kesehatan RI. Mother’s day [Internet]. Pusat Data dan Informasi Kementerian Kesehatan RI. 2014.

Dinas Kesehatan Provinsi Riau. Profil kesehatan Provinsi Riau 2015 [Internet]. 2015.

Gelson E, Johnson M. Effect of maternal heart disease on pregnancy outcomes. Expert Rev Obstet Gynecol. 2010;5(5):605–07.

Wiyati PS, Wibowo B. Luaran maternal dan perinatal pada hamil dengan penyakit jantung di RSUP Dr. Kariadi Semarang. Maj Obstet Ginekol. 2013;21(1):23–5.

Tanika RM. Insidensi dan karakteristik kehamilan dengan penyakit jantung di RSUD Arifin Achmad Provinsi Riau periode 2014-2016 [skripsi]. Pekanbaru: Fakultas Kedokteran Universitas Riau;2018.

Pandey K, Verma K, Gupta S, Jahan U, Kirti N, Gupta P. Study of pregnancy outcome in women with cardiac disease : a retrospective analysis. Int J Reprod Contraception, Obstet Gynecol. 2016;5(10):3537–41.

Owens A, Yang J, Nie L, Lima F, Avila C, Stergiopoulos K, et al. Neonatal and maternal outcomes in pregnant women with cardiac disease. J Am Hear Assoc. 2018;7(21):2–9.

Restrepo-Méndez MC, Lawlor DA, Horta BL, Matijasevich A, Santos IS, Menezes AMB, et al. The association of maternal age with birthweight and gestational age : a cross-cohort comparison. Paediactric Perinat Epidemiol. 2015;29(1):33–7.

Thanajiraprapa T, Phupong V. Pregnancy complications in women with heart disease. J Matern Neonatal Med. 2010;23(10):1201–3.

World Health Organization. New guidelines on antenatal care for a positive pregnancy experience [Internet]. November 2016. [cited 2018 November] Available from: https://www.who.int/reproductivehealth/news/antenatal-care/en/

Adriaansz G. Asuhan antenatal. In: Saifuddin AB, Rachimhadhi T, Wiknjosastro GH, editors. Ilmu Kebidanan Sarwono Prawirarohardjo. 4th Ed. Jakarta: PT Bina Pustaka Sarwono Prawirohardjo; 2016. p. 278–87.

Silversides CK, Grewal J, Mason J, Sermer M, Kiess M, Rychel V, et al. Pregnancy outcomes in women with heart disease. J Am Coll Cardiol. 2018;71(21):2419–30.

Mocumbi A, Sliwa K, Soma-Pillay P. Medical disease as a cause of maternal mortality: the pre-imminence of cardiovascular pathology. Cardiovasc J Afr. 2016;27(2):84–8.

Saifuddin AB. Kematian ibu dan perinatal. In: Saifuddin AB, Rachimhadhi T, Wiknjosastro GH, editors. Ilmu Kebidanan Sarwono Prawirohardjo. 4th Ed. Jakarta: PT Bina Pustaka Sarwono Prawirohardjo; 2016. p. 55-8.

Sedyawan JH. Penyakit jantung katup. In: Saifuddin AB, Rachimhadhi T, Wiknjosastro GH, editors. Ilmu Kebidanan Sarwono Prawirohardjo. 4th Ed. Jakarta: PT Bina Pustaka Sarwono Prawirohardjo; 2016. p. 767-71

Cordina R, McGuire M. Maternal cardiac arrhythmias during pregnancy and lactation. Obstet Med. 2010;3(1):8–16.

Dennis AT, Solnordal CB. Acute pulmonary oedema in pregnant women. Anaesthesia. 2012;67(6).

Anthony J, Sliwa K. Decompensated heart failure in pregnancy. Eur Cardiol. 2016;2(1):20–3.

Makino Y, Matsuda Y, Mitani M, Shinohara T, Matsui H. Risk factors associated with preterm delivery in women with cardiac diseases. J Cardiol. 2012;59(3):291–8

Refbacks

  • There are currently no refbacks.