Perinatologic results of Cardiopathy and Pregnancy's Service in 2000-2001, in "Ramón González Coro" Hospital, Havana

OBJETIVOS: establecer las bases para el tratamiento y atención de la mujer portadora de cardiopatía en edad fértil, caracterizando al grupo de gestantes atendidas en servicio. MÉTODOS: realizó un estudio descriptivo y las mujeres fueran clasificadas según cardiopatía y grado de afectación funcional en relación con los resultados, se decribiendo las complicaciones durante el embarazo, parto y puerperio y los resultados perinatales. Variables analizadas: tipo de cardiopatía y clasificación funcional de las mismas, complicaciones obstétricas y/o cardiovasculares, edad gestacional al parto, modo de nacimiento, peso y puntaje de Apgar en el recién nacido y mortalidad materna y del recién nacido. RESULTADOS: encontramos 129 valvulopatías adquiridas, 79 congénitas, 18 casos de trastornos del ritmo. Lesiones más frecuentes valvulopatías mitrales (92) y comunicaciones interauriculares (31). 21 pacientes presentaron empeoramiento funcional durante el embarazo. Aparecieron complicaciones cardiovasculares en 19 pacientes y obstétricas en 142. 14 requirieron ingreso en Servicios de Terapia Intensiva y tres fallecieron. CONCLUSIONES: Se confirmó la asociación entre clasificación funcional y complicaciones cardiovasculares durante el embarazo, parto y puerperio. Las complicaciones obstétricas se comportan igual que en las gestaciones de pacientes sanas y más de la mitad de los partos fueron eutócicos.OBJECTIVES: to establish the basis for treatment and care of cardiopath women in fertile age, following the criteria of evidence based Medicine, through the clinical and perinatal assessment of a group of pregnant women admitted in our service. METHODS: the women were classified according to their cardiopathy and degree of functional impairment related to the complications described during pregnancy, delivery and puerperal stage and perinatal results. The variables analysed were : type of cardiopathy and functional classification of the women, obstetrical and/or cardiovascular complications, pregnancy age at delivery, type of delivery, weigth and Apgar ponctuation in the newly born and mother and infant mortality rates. RESULTS>: 129 acquired valvulopathies, 79 congenital valvulopathies, 18 cases of rithm disturbances. The most frequent lesions were mitral valvulopathies (92) and interauricular communications (31). 21 Patients had their condition aggravated during pregnancy. Cardiovascular complications appeared in 19 patients and obstetric ones in 142. Fourteen had to be admitted in Intensive Care Units and three died. CONCLUSIONS: these results provide an idea of development of this line of work and its impact on reproductive health. The association between functional classifications and cardiovascular complications during pregnancy, delivery, and puerperium were confirmed. Obstetrical complications were the same as in healthy patients and more than half of the devlieries were eutoccic