Category: Medical/Surgical/Diseases/Complications
Poster Session III
There is ample evidence demonstrating positive obstetrical outcomes in patients with repaired Tetralogy of Fallot (TOF). To better understand how patients with aortopathies (AO) fair during and after pregnancy, this study aims to compare these two groups of patients.
Study Design: A retrospective cohort study of patients with repaired TOF or AO delivering singleton, live births between 2007 to 2022 was completed. The characteristics of patients’ cardiac disease was collected, along with maternal and fetal complications. Labor and delivery courses, and maternal and neonatal morbidity was then compared to understand possible significant differences between groups.
Results: A total of fifty-four patients were included in the study, with twenty-nine patients having repaired TOF and twenty-five having AO. There were no differences between patients’ demographics, except body mass index, where more patients with repaired TOF were found to be overweight and obese. Table 1 demonstrates there were no significant differences at baseline and during pregnancy when examining patients’ cardiac disease and status. During labor and delivery, patients had similar outcomes for mode of delivery and indication for delivery. More patients with repaired TOF were delivered preterm and had smaller neonates, but other outcomes were similar (Table 2). There were no statistically significant differences in maternal and neonatal morbidity between the two groups.
Conclusion: Patients with AO have similar outcomes to patients with repaired TOF when examining obstetrical outcomes and morbidity. These findings should provide patients with AO reassurance of having positive perinatal outcomes.
Fatimah Z. Fahimuddin, MD
Maternal-Fetal Medicine Fellow
MedStar Washington Hospital Center
Arlington, Virginia, United States
Maria C. Alzamora, MD
Resident
MedStar Health Washington Hospital Center
Washington, District of Columbia, United States
Lauren Harris, MD
Resident
MedStar Health Washington Hospital Center
Washington, District of Columbia, United States
Melissa Fries, MD
MedStar Washington Hospital Center
Washington, District of Columbia, United States