Peripartum anesthesia management and outcomes of patients with congenital heart disease: a single-center retrospective analysis (2009–2023)
Main finding · PPHResult — go to the resultOdds ratio 0.97 95% CI 0.93–1.02Authors' conclusion
In this retrospective study on the peripartum anesthetic management and outcomes of CHD patients stratified by mWHO class, cases with greater mWHO class were more likely to deliver preterm, by cesarean delivery, with a combined spinal-epidural anesthetic and an arterial line placement for that cesarean delivery. They overall had a longer hospital stay and were more likely to be admitted to the ICU. However, the overall risk of PPH did not increase with mWHO class severity.
Study context
- Population
- Peripartum patients with congenital heart disease (CHD), 2009–2023
- Participants
- 282 patients · 409 deliveries
- Exposure
- CHD patients stratified by modified World Health Organization (mWHO) class
- Outcome
- PPH incidence
Methodological detailssingle-centre, high-volume tertiary care center
- Single-centre
- High-volume tertiary care center
Main finding
PPH
Odds ratio
0.97
95% CI 0.93–1.02
P = 0.2
As reported in the abstract
- PPH incidence
- 6.4%
Observational data: associations, not effects.
Further findings
Cesarean delivery
- Significantly more frequent in mWHO class III
- P = 0.005
Labor epidural analgesia for vaginal deliveries
- Epidural rate, overall; no differences between mWHO classes
- 71.1%
Anesthesia for cesarean deliveries
- Varied significantly by class; spinal predominant in classes I and II, CSE more common in class III
- P < 0.001
Intensive care unit (ICU) admission, hospital LOS, one-year cardiac hospitalizations
- Significantly higher with higher mWHO classes
Original publication
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