Maternal and neonatal outcomes in pregnant women with pulmonary hypertension: A retrospective study from a Tunisian tertiary center (2013−2023)
Authors' conclusion
Favorable maternal and neonatal outcomes were observed in this cohort managed within a specialized multidisciplinary setting.
Study context
- Population
- Pregnant women with echocardiographically confirmed pulmonary hypertension delivering at a Tunisian tertiary referral center, 2013–2023
- Participants
- 22 women
- Outcome
- Maternal and neonatal outcomes
Methodological detailssingle-centre, tertiary referral center
- Single-centre
- Tertiary referral center
Main finding
As reported in the abstract
- No maternal deaths during hospitalization or within 30 days postpartum
- Maternal complications infrequent, mainly transient hypotension and acute pulmonary edema
- Neonatal outcomes generally favorable
Observational data: associations, not effects.
Further findings
Systolic pulmonary artery pressure (baseline characteristic)
- Mean systolic pulmonary artery pressure, mmHg
- 62.2 ± 21.8
- Maximum recorded value, mmHg
- 120
Severe pulmonary arterial hypertension with suprasystemic pulmonary pressures
- Patients with severe pulmonary arterial hypertension with suprasystemic pulmonary pressures
- 2
- Pulmonary hypertension predominantly related to left heart disease
Cesarean delivery
- Cesarean delivery
- 20 (90.9%)
Neuraxial anesthesia
- Neuraxial anesthesia, predominantly CSE
- 19 (86.4%)
Vasopressor support not required
- Vasopressor support not required
- 45.5%
- Prophylactic ephedrine in selected high-risk patients per institutional practice
Original publication
Maternal and neonatal outcomes in pregnant women with pulmonary hypertension: A retrospective study from a Tunisian tertiary center (2013−2023). Int J Obstet Anesth. Published 1 July 2026. doi:10.
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