Introduction: The management of pregnancy in patients with mitral valve stenosis disease continues to pose a challenge to the clinician.
Objective: The aim of study was to evaluate the association between mitral valve stenosis and maternal and fetal out come.
Materiel and method: Eighty-three pregnant women with mitral valve disease, followed-up from 2009 to 2012, were prospectively evaluated medical history, NYHA class assessment, ECG and echocardiography were performed during pregnancy and after delivery.
Results: Women with mitral stenosis had significantly clinical higher incidence of complications deterioration of clinical status was observed (44.57%, P=0.0001) congestive heart failure had observed (27.71%, P=0.0001), hospitalization (33.73%, P=0.0001), need of cardiac medications (53.75%, P=0.009), arrhythmias (16%, P<0.05), New born outcome, mitral stenosis had an effect on fetal outcome. We had increasing preterm, delivery (17.50%, P=0.018), hypotrophy (20.48%, P=0.001), intra-uterine growth retardation (12.04%, P=0.011) new born hospitalizations (13.25%, P=0.03) Increased maternal morbidity and unfavorable fetal outcome was seen mostly in patients with moderate and severe mitral stenosis.
Conclusion: Pregnant with critical mitral stenosis form a high-risk groups of life-threatening complications. There is need for close maternal follow-up and fetal surveillance and repair of mitral stenosis should be performed before pregnancy.
Keywords: Conséquences fœtales; Conséquences maternelles; Fetal outcome; Grossesse; Maternal outcome; Mitral stenosis; Mitral valve area; Pregnancy; Rétrécissement mitral; Surface mitrale anatomique.
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