EP12.10: Cardiac disease in pregnancy and perinatal outcomes

This is a retrospective cohort study. All pregnant women with diagnosed cardiac disease and gave birth at Prince Sultan Military Medical Center between January 2017 and July 2022 were included in the study. Data including maternal characteristics and perinatal outcomes were collected from the digital medical file database. Data has been analysed by using descriptive statistics via IBM SPSS® version 20. Continuous variables were expressed as mean (minimum – maximum) for non-parametric variables. Categorical variables were expressed as frequencies (n) and percentage of occurrence (%). Total of 116 pregnant women with cardiac disease were included in the study. All except one case were booked and had regular prenatal care. Majority among them were booked multiparous women, at age above 35 and, non-smoker. 51.2%, 15.1%, 14.6% and 2.5% were women with valvular, rheumatic, congenital heart disease and cardiomyopathies respectively. 6.7% developed hypertensive spectrum disorder and 10% developed gestational diabetes mellitus. 7 patients required intensive care unit admission but there were no maternal deaths. 12.6% newborns required NICU admission and 10% needed respiratory support. There were 4 (3.4%) fetal and 1 (.8%) neonatal death. In this cohort, incidence of Caesarean section and congenital heart defect among newborns were higher than reported in general population. Other perinatal outcomes were similar to the general population. Pregnant women with cardiac disease require optimal counselling and multidisciplinary team management throughout their pregnancies and postpartum period.