INTRODUCTION: Pregnancy, birth, and the puerperium are associated with significant physiological changes and adaptations in the cardiovascular system, which pose a significant risk to pregnant women with congenital heart disease (CHD). Thanks to advances in pediatric cardiac surgery and cardiology the majority of children with CHD survive to adulthood, and an increasing number eventually become pregnant. In fact, cardiac disease - mostly congenital - is now a leading cause of maternal death in western industrialized countries. METHODS: Selective literature review. RESULTS AND DISCUSSION: Optimal care of women with CHD before, during, and after pregnancy requires a multidisciplinary team including obstetricians, cardiologists, and anaesthetists. Successful pregnancy at a minimum risk is feasible for most women with CHD when appropriate counseling and optimal care are provided.
INTRODUCTION: Pregnancy, birth, and the puerperium are associated with significant physiological changes and adaptations in the cardiovascular system, which pose a significant risk to pregnant women with congenital heart disease (CHD). Thanks to advances in pediatric cardiac surgery and cardiology the majority of children with CHD survive to adulthood, and an increasing number eventually become pregnant. In fact, cardiac disease - mostly congenital - is now a leading cause of maternal death in western industrialized countries. METHODS: Selective literature review. RESULTS AND DISCUSSION: Optimal care of women with CHD before, during, and after pregnancy requires a multidisciplinary team including obstetricians, cardiologists, and anaesthetists. Successful pregnancy at a minimum risk is feasible for most women with CHD when appropriate counseling and optimal care are provided.
Entities:
Keywords:
congenital heart disease; maternity; multidisciplinary care
Authors: Franz F Immer; Anne G Bansi; Alexsandra S Immer-Bansi; Jane McDougall; Kenton J Zehr; Hartzell V Schaff; Thierry P Carrel Journal: Ann Thorac Surg Date: 2003-07 Impact factor: 4.330
Authors: Rhoia Neidenbach; Stephan Achenbach; Caroline Andonian; Ulrike M M Bauer; Peter Ewert; Sebastian Freilinger; Ulrike Gundlach; Ann-Sophie Kaemmerer; Nicole Nagdyman; Kathrin Nebel; Renate Oberhoffer; Lars Pieper; Wibke Reinhard; Linda Sanftenberg; Fabian von Scheidt; Jörg Schelling; Lavinia Seidel; Michael Weyand; Harald Kaemmerer Journal: Cardiovasc Diagn Ther Date: 2021-04