pulmonary hypertension with pregnancy | ||
| Minia Journal of Medical Research | ||
| Articles in Press, Accepted Manuscript, Available Online from 09 February 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjmr.2025.349858.1867 | ||
| Author | ||
| Sameha Nouh Ahmed* | ||
| Cardiology department,minia university | ||
| Abstract | ||
| Background: All pregnant women with PAH should have their pregnancies terminated immediately, and current recommendations strongly encourage this. Given that PAH is more common among women of childbearing age, this guideline is especially crucial. Aim and objectives: o report the results of pregnancies among women with pulmonary hypertension. Subjects and methods: This present cross-section analytic study included 205 pregnant women diagnosed with pulmonary hypertension, According to the most up-to-date pulmonary hypertension standards, the condition is clinically diagnosed when resting mean pulmonary arterial pressure is more than 20 mmHg. They were recruited from minia university outpatient clinics. Results: there was no significance amongst the studied groups concerning demographic and clinical data, trimester at presentation, and multiple gestation (p value >0.05). There was significance between the studied groups regarding gravida status (p value 0.03) 65 different neonatal adverse outcomes were found in 39 (18.75%) cases. Of them, preterm birth and low Apgar score were more frequent (34% each) followed by low birth weight (29%). There was a statistical significance between neonatal adverse outcomes. There was a statistical significance between individual predictors of neonatal adverse outcome, and (Trimester at presentation, PASP, TAPSE) there was no significance between neonatal adverse outcome and (Diabetes mellitus, Gravida status, Mode of delivery). Conclusion: Greater maternal morbidity and adverse fetal outcome have been correlated with pregnancy in cases with severe PAH. | ||
| Keywords | ||
| pulmonary hypertension; pregnancy; heart disease | ||
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