[Characteristics of pregnancy and delivery in women with rheumatic heart valve disease]

Abstract

During a six years period, we followed 55 pregnant women having rhumatismal valvulopathy. The prevalence of the association rhumatismal valvulopathy and pregnancy is about 44%. The RM represents the most frequent rhumatismal valvulopathy that is about 43.5%. Among our patients 5 represented a cardiac decompensation (9%). Our study resulted in:cesarean section rate: 23.6% 1 maternal death neonatal death rate 36%. 14.5% prematurity rate 9% hypotrophy rate.

Conclusion: The pregnancy of patients bearing the rhumatismal valvulopathy represents a high risk situation. The maternal death during and after pregnancy exist and can reach an average of 1%.