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RETRACTED ARTICLE: Maternal and fetal outcome in women with rheumatic heart disease: a 3-year observational study

  • Maternal-Fetal Medicine
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

This article was retracted on 20 May 2022

This article has been updated

Abstract

Objective

To assess prospectively the maternal and fetal outcome in women with rheumatic heart disease (RHD).

Methods

This was a prospective 3-year observational study carried out at Menoufia University Hospital, Egypt in which 192 patients out of 9856 pregnant women were diagnosed with RHD and divided into two groups: low- and high-risk groups based on the New York Heart Association (NYHA) functional classification. Enrolled patients were followed to assess the maternal and fetal outcome.

Results

Mitral valve disease was the commonest single valve (118/192, 51.4 %) affected by rheumatic fever. Cardiac women with NYHA class I&II characterized by having fewer pulmonary hypertension, taking cardiac medications, prior heart failure and prior cardiac surgery than those with NYHA class III&IV. On the hand, cardiac women with NYHA III&IV have poorer maternal outcome with more complications as heart failure, arrhythmias, thromboembolism, admission to cardiac ICU, delivery by cesarean section and defective lactation. Prematurity and NICU admission were significantly more in NYHA III&IV.

Conclusions

RHD still constitutes a major cause of maternal and fetal morbidity and mortality. Multidisciplinary cooperation, proper preconception and antenatal care are the key measures to improve the outcomes of these patients.

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Acknowledgments

The authors would like to acknowledge the contribution of the residents and nursing staff of the outpatient clinics and delivery ward of Menoufia university Hospital.

Authors’ contribution

Mohamed Rezk: Project development, Data Collection, Manuscript writing. Awni Gamal: Data collection.

Author information

Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Faculty of Medicine, Menoufia University, Shibin Elkom, Menoufia, Egypt

    Mohamed Rezk

  2. Department of Cardiology, Faculty of Medicine, Menoufia University, Shibin Elkom, Menoufia, Egypt

    Awni Gamal

Authors
  1. Mohamed Rezk
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  2. Awni Gamal
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Corresponding author

Correspondence to Mohamed Rezk.

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Rezk, M., Gamal, A. RETRACTED ARTICLE: Maternal and fetal outcome in women with rheumatic heart disease: a 3-year observational study. Arch Gynecol Obstet 294, 273–278 (2016). https://doi.org/10.1007/s00404-015-3990-9

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  • DOI: https://doi.org/10.1007/s00404-015-3990-9

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