Planned versus Emergency Termination of Pregnancy in Cardiac Patients at Mansoura University Hospital

Background: Emergency interventions, done under unstable conditions, raise risks for both mother and baby. In contrast, planned interventions in controlled settings lead to better outcomes and fewer complications. The aim of this work was to compare maternal & fetal outcomes of (planned VS emergent termination pregnancy outcome in women with pre-existing heart disease at Mansoura university hospitals. Methods: This prospective cohort study was carried out on 50 pregnant women aged from 20 to 39 years old, with gestational age of medico legal viability 26 weeks, congenital heart disease {atrial septal defect(ASD), tetralogy of Fallot (TOF), ventricular septal defect (VSD)}, acquired heart disease e.g. (coronary artery disease, rheumatic heart disease, , and prosthetics heart valves). Results: Gestational age at delivery, hemoglobin (Hb) before and Hb after were significantly lower in group A than group B Blood loss, blood & plasma transfusion significantly higher in group A than B (P value<0.05). Total hospital stays, duration of intensive care unit admission, post operative mobilization and maternal mortality were significantly higher in group A than group B (P value <0.05). Baby weight and discharge rates were significantly lower in group A than group B (P value<0.001 and =0.025 respectively). Fetal Echo was significantly different between both groups (P value=0.03). Conclusions: Emergency termination in maternal cardiac disease leads to worse outcomes, including longer recovery& prolonged hospitals stay, more blood loss, higher maternal mortality, and poorer fetal health. Multidisciplinary planning is crucial to improve results.