A scientific statement providing current information on preconception counseling, diagnostic evaluation, and pregnancy management for women with complex congenital heart disease.
Offers updated guidance for pregnancy in complex CHD; leaves open need for prospective outcome studies.
Today, most female children born with congenital heart disease will reach childbearing age. For many women with complex congenital heart disease, carrying a pregnancy carries a moderate to high risk for both the mother and her fetus. Many such women, however, do not have access to adult congenital heart disease tertiary centers with experienced reproductive programs. Therefore, it is important that all practitioners who will be managing these women have current information not only on preconception counseling and diagnostic evaluation to determine maternal and fetal risk but also on how to manage them once they are pregnant and when to refer them to a regional center with expertise in pregnancy management.
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Canobbio et al. (2017) studied this question.
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