Table 3. Obstetric outcomes of women with rheumatic heart disease (n = 32).
| Maternal outcome | n (%) |
|---|---|
| Any maternal complication | 13 (40.6) |
| Postpartum hemorrhage | 5 (15.6) |
| Hypertension | 4 ( 9.7) |
| Hypothyroidism | 1 ( 2.4) |
| Congestive cardiac failure | 2 (4.8) |
| Pulmonary embolism | 1 (2.4) |
| CCU admission | 17 (53.1) |
| Median CCU stay in days (range) | 3 (1 to 6) |
| Maternal death | 1 (3.1) |
| Fetal outcome | |
| 5-min **Apgar score less than 7 | 11 (34.4) |
| Any fetal complication | 12 (37.5) |
| Birth asphyxia | 4 (9.7) |
| Meconium aspiration | 2 (4.8) |
| Preterm birth | 6 (14.6) |
| NICU admission | 13 (40.6) |
| Neonatal death | 3 (9.4) |
Apgar is a standardized clinical assessment of newborns consisting of 5 components (heart rate, respiratory effort, muscle tone, reflex irritability, colour), each of which is given a score of 0, 1, or 2. Apgar score of 7-10 at 5 minutes after birth means normal child, however, the score of fewer than 7 warrants repeat assessments every 5 minutes up to 20 minutes. A persistent low Apgar score signifies a depressed or non-reassuring baby.5