The Prevalence of heart disease in pregnant women in colombia 2004-2008 and 2017-2021

Prevalencia de cardiopatías en mujeres gestantes colombianas entre 2004-2008 y 2017-2021

Introduction: cardiovascular disease in pregnancy poses a global health challenge, especially in developing countries, thus evaluating pregnant women for cardiovascular risk is crucial for identifying women at risk for complications and guiding monitoring for preventing adverse events. Materials and methods: a retrospective descriptive study based on the medical records of pregnant women with heart disease who attended the outpatient clinic in two cities of Colombia (Bogotá and Cúcuta). Results: congenital heart disease was more common than acquired heart disease in the pregnant women study population (56% vs. 35%). Mothers aged under 25 accounted for 82% of all cases and 50% of those evaluated were experiencing their first pregnancy. Fifty-one percent achieved a full-term pregnancy. A cesarean section (70%) was the predominant delivery method. Discussion and conclusions: heart disease in pregnancy accounts for nearly 15% of maternal mortality, and its incidence is likely to increase in the coming years. Achieving accurate diagnosis during preconception care and adequate management by a multidisciplinary team during pregnancy improves the chances of a successful outcome for both mother and child, in most cases.