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245	0	0	_aProfile of pregnancies complicated by congenital heart disease in the Philippine General Hospital (1988-1992) / _cMaria Antonia E. Habana, Julian Jose Esteban
520	3		_aFifty eight pregnancies complicated with congenital heart disease who delivered at the Department of Obstetrics and Gynecology, Philippine General Hospital from 1988-1992 were reviewed. The mean age and parity did not differ from the general obstetrical population. 93.1% had prenatal consults and the majority were in functional class 1 and 2. 79.3% of deliveries were vaginal. Caesarean section was done mainly for obstetrical indications. There is a 10.3% and 39.6% risk of maternal and fetal complications respectively. The data suggests that nulliparas have a higher incidence of maternal complications. A higher incidence of cardiac and non-cardiac complications in patients with congenital than acquired heart disease was noted. Asphyxia is seen more commonly in patients with acquired than congenital heart disease. In the study group, a trend towards an increase in fetal complication with increasing age and parity is seen. An increase in maternal and fetal complications with increasing functional class is also seen. In view of the above data, it is suggested that close prenatal and intrapartal care should be given to pregnant women with congenital heart disease.
580			_aActa Medica Philippina,1994 30 ( 1 ) pages 1-8
650		2	_aPregnancy Complications, Cardiovascular
700	1		_aHabana, Maria Antonia E.
700	1		_aEsteban, Julian Jose
942			_cJA
999			_c3574 _d3574