Pregnancy in women with congenital heart disease

Abstract

Congenital heart disease is the most common form of structural heart disease affecting women of childbearing age in developed countries. Pregnancy in these patients is associated with an increased risk to both mother and fetus. Appropriate prepregnancy evaluation and counseling is recommended to assess the pregnancy-related maternal and fetal risk and to identify patients who should avoid pregnancy. Once pregnancy occurs, cardiovascular reevaluation is generally recommended; the frequency is individualized. Monitoring during delivery may be necessary and the postpartum period is a concern in select individuals. Data regarding the outcome of pregnancy in patients with operated congenital cardiac defects are available. Individualized care is mandatory.

Konjeni̇tal Düzelti̇lmi̇ş Büyük Arter Transpozi̇syonlu Gebede Peri̇kardi̇yal Effüzyon Nedeni̇ İle Aci̇l Sezeryan

“…Normal ventriküler fonksiyon başarılı bir gebelik ve doğum için önemlidir. Ejeksiyon fraksiyonu <%40 olan c-TGA hastalarına genellikle gebelikten kaçınmaları tavsiye edilir (7).…”

Schwangerschaftsberatung bei Frauen mit angeborenen Herzfehlern

“…Einen Überblick über das Risikoprofil einiger häufiger AHF in der Schwangerschaft gibt l " Tab. 2 [2,[4][5][6][7][8][9][10][11]. Dabei werden die Gefahren aufgeführt, denen Frauen mit nativem oder behandeltem AHF während einer Schwangerschaft potenziell ausgesetzt sind.…”

Schwangerschaft bei Erwachsenen mit angeborenen Herzfehlern

“…Das Risikoprofil und der Schwangerschaftsverlauf einiger häufiger AHF sollen im Folgenden besprochen werden [5,10,11,12].…”