Outcomes of Pulmonary Arterial Hypertension in Pregnancy: A Tertiary Care Retrospective Study

PAH has high maternal mortality despite modern treatment modalities. Patients presenting with higher NYHA class had poorer outcomes and a higher incidence of fetal growth retardation. Hence, MTP should be offered to patients with PAH who present in early pregnancy. A multidisciplinary (cardiology, anaesthesiology, neonatology, cardiac anaesthetist, along with an obstetrician experienced in managing high-risk pregnancy) team approach should be adopted while managing such patients. However, considering a very high risk in continuing the pregnancy, an ethical dilemma for continuing the pregnancy in women desirous of the same remains.