Delivery in a multipara with unoperated Fallot's tetralogy

Left Ventricular Performance During Pregnancy in Patients With Repaired Tetralogy of Fallot-Prospective Evaluation Using the Tei Index-

“…1,2 Consequently, a number of women with congenital heart disease reach childbearing age, and many of them have a strong desire to become pregnant. [3][4][5][6] Although therapeutic or management guidelines for pregnancy and delivery in patients with congenital heart disease have recently been established, 7,8 numerous unresolved problems still remain because of limited scientific evidence, [9][10][11][12][13][14][15] which makes it difficult to establish optimal therapeutic strategies and to ease these women's psychological concerns or confusion about their pregnancies. 16,17 Theoretically, increased blood volume and decreased systemic vascular resistance during pregnancy can affect the systolic or diastolic variables.…”