MATERNAL OUTCOMES IN PATIENTS WITH PERIPARTUM CARDIOMYOPATHY

Abstract

Background:

Peripartum cardiomyopathy (PPCM) is a cardiac failure of the left ventricular systolic dysfunction and is a rare disease which occurs during the last month of pregnancy or within the five months after birth. It is linked with high maternal morbidity and unfavorable obstetric consequences.

Methodology:

This was a descriptive study, which was carried out in the Department of Obstetrics and Gynaecology, Saidu Group of Teaching Hospital, Swat, between 7th February 2025 and 8th May 2025. Non-probability consecutive sampling was used to include 136 patients aged between 18 and 40 years with a gestational age of 32 weeks and diagnosed with PPCM (LVEF 45 per cent on echocardiography). Information on the demographic and maternal care outcome factors such as mode of delivery, postpartum haemorrhage (PPH), rehospitalization and in-hospital mortality were registered. Analysis of data was done through SPSS version 25 using both descriptive and inferential statistics.

Results:

The average patient age was 30.6±5.1. The most frequent mode of delivery was Cesarean section (65.4%), postpartum hemorrhage (25.7%) and rehospitalization (15.4%). Deaths at the hospital were 4.4 percent in patients. Mothers who had increased maternal age and body mass index significantly predicted post partum hemorrhage (p < 0.05).

Conclusion:

Peripartum cardiomyopathy is significant to maternal complications, especially surgical delivery and postpartum bleeding. The identification and management of maternal conditions should be done in an early stage and in a multidisciplinary manner to enhance better outcomes of mothers.