• Dwi Fenny Amir
• Makmur Sitepu
• Khairani Sukatendel
• Sarma Lumbanraja
• Indra G Munthe

Pregnancy with heart disease is non-obstetric maternal death causes which has significantly impact on maternal morbidity and mortality, therefore early identification and optimal management of heart disease in pregnancy is needed to improved fetomaternal outcomes. This research purposed to determine maternal and neonatal outcomes in pregnancies with heart disease at Haji Adam Malik General Hospital Medan. This is an observational study, with cross-sectional/cross-sectional research design carried out at Inpatient Installation and Outpatient Installation at RSUP Haji Adam Malik Medan from January 2020 until completion. The sampling technique used was non-probability sampling with total sampling method from medical records of pregnant women with heart disease recorded at RSUP Haji Adam Malik Medan in January 2015 - December 2019 which met inclusion criteria. The data analysis used is univariate analysis, namely by analyzing frequency distribution of the independent and dependent variables.Frequency Distribution of heart disease in pregnancy based on maternal complications, most common complications were Arrhythmia in about 13 cases (35%) followed by heart failure with NYHA class II, namely 8 cases (21.6), followed by heart failure with NYHA class I and NYHA III, namely 5 cases ( 13.5%) each and NYHA class IV namely 2 cases (5.4%) and lastly followed by pulmonary edema, impending respiratory failure, stroke and thrombosis, namely 1 cases (2.7%) each. Frequency Distribution of neonatal outcomes in pregnancies with heart disease was mostly live births as many as 33 cases (89.1%) with highest number being healthy babies (Vigorous) as many as 16 cases (43.2%), followed by Moderate Asphyxia as many as 13 cases (35.1%), mild asphyxia and severe asphyxia as many as 2 cases (5.4%) each. For stillborn babies, there were 4 cases (10.8%) with IUFD and 2 cases (5.4%) with still birth. Prevalence of pregnant women with heart disease who was treated at RSUP Haji Adam Malik Medan on period January 2015 to December 2019 was 2.8%. Based on cardiovascular complications, mostly cases experienced arrhythmia as much as 13 cases (35%). Based on neonatal outcome, mostly babies born alive and healthy (vigorous) as many as 16 cases (43.2%).

Maternal outcomes, neonatal outcomes, Heart disease in pregnancy, arrhythmia

"Maternal and Neonatal Outcomes in Pregnancy with Heart Disease in 2015-2019", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.9, Issue 10, page no.e403-e408, October-2022, Available :http://www.jetir.org/papers/JETIR2210459.pdf

"Maternal and Neonatal Outcomes in Pregnancy with Heart Disease in 2015-2019", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.9, Issue 10, page no. ppe403-e408, October-2022, Available at : http://www.jetir.org/papers/JETIR2210459.pdf