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Gynaecology & Obstetrics Miscellaneous (Gynae) ac38cd09

With which heart diseases in Pregnancy is prognosis worst:

A
Eisenmenger's syndrome
B
Aortic Stenosis
C
Mitral Stenosis
D
MVP
High-Yield Explanation
Ans. a (Eisenmenger's syndrome). (Ref. Textbook of obstetrics D C Dutta 6th ed. 296)HEART DISEASE IN PREGNANCY# The risk of fetal congenital malformations is increased by 3-10% if either parents have congenital lesions. In mother with AV septal defect, risk of having concordant abnormality in baby is very much high.# Most common heart disease in pregnancy is mitral stenosis.# Most common congenital heart disease during pregnancy is ASD.# Absolute indications for termination of pregnancy are = primary pulmonary hypertension, and Eisenmenger's syndrome as maternal mortality is otherwise found to be highest in them.

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