Fetomaternal Outcome in Pregnant Patients with Mitral Stenosis: A Risk Stratification Study Based on Wilkins Score

Authors

Samra Mobeen Lahore Medical and Dental College.
Ameelia Sadaqat Ghurki trust and Teaching Hospital, Lahore
Sadia Mehmood Ghurki Trust Teaching Hospital, Lahore.
Sidra Azeem Afzal Department of Obstetrics & Gyanaecology ,THQ Taxila.
Kiran Iqbal Lahore Medical and Dental College.
Naila Mairaj Lahore Medical and Dental College

DOI:

https://doi.org/10.51273/esc25.251321133

Keywords:

Mitral Stenosis,, Wilkins Score,, Fetomaternal Outcome

Abstract

Abstract
Objective: To evaluates fetomaternal outcomes in pregnant women diagnosed with mitral stenosis,
categorizing them based on Wilkins Score. The findings highlight how disease severity correlates with
pregnancy complications and neonatal health.
Material and Methods: This descriptive case series was conducted from January 2020 to December 2021 at
Services Hospital, Lahore. We included 161 pregnant women with MS, categorized into Wilkins score
groups to evaluate correlations with delivery mode, preterm birth, Apgar score, birth weight, and intrauterine
death. Exclusion criteria included other cardiovascular or systemic conditions. Data were analyzed using
IBM-SPSS v.22 for frequencies and associations.
Results: The mean maternal age was 29.1 ± 2.9 years, and the mean gestational age at delivery was 26.2 ± 3.3
weeks. Cesarean deliveries occurred in 30.4% of cases, with a preterm birth rate of 18.6%. Low Apgar scores
(<6) were observed in 13.7% of neonates, and 25.5% had low birth weights (<2.5 kg). Severe MS (Wilkins
score >11) was linked to higher rates of adverse outcomes, including preterm birth and low Apgar scores.
Conclusion: Mitral stenosis in pregnancy is associated with elevated risks of preterm birth, low birth weight,
and neonatal complications, underscoring the need for tailored management strategies. Pre-pregnancy
counselling, early risk stratification using the Wilkins score, and proactive antenatal care are crucial for
improving maternal and fetal outcomes.
Keywords: Mitral Stenosis, Wilkins Score, Fetomaternal Outcome
How to cite: Mobeen S, Sadaqat A, Mehmood S, Afzal SA, Iqbal K, Mairaj N. Fetomaternal Outcome in Pregnant
Patients with Mitral Stenosis: A Risk Stratification Study Based on Wilkins Score. Esculapio - JSIMS 2025;21(01):
188-191
DOI: https://doi.org/10.51273/esc25.251321133

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Published

2025-03-31

How to Cite

Samra Mobeen, Ameelia Sadaqat, Sadia Mehmood, Sidra Azeem Afzal, Kiran Iqbal, Naila Mairaj. Fetomaternal Outcome in Pregnant Patients with Mitral Stenosis: A Risk Stratification Study Based on Wilkins Score. Esculapio - JSIMS [Internet]. 2025 Mar. 31 [cited 2025 May 13];21(1):192-5. Available from: https://esculapio.pk/journal/index.php/journal-files/article/view/1300