Key result
Pregnancy in women with Fontan palliation requires multidisciplinary specialized care to manage physiologic modifications, maternal cardiovascular concerns, and obstetrical and neonatal complications.
Provides a comprehensive overview of the physiologic changes, risks, and multidisciplinary management required for pregnant women with Fontan palliation.
Supports multidisciplinary Fontan pregnancy care; leaves open need for prospective outcome studies.
Advances in the care of patients with a univentricular heart have enabled the majority to survive well into adulthood. Consequently, an increasing number of women with Fontan palliation are contemplating pregnancy. This review summarizes physiologic modifications related to pregnancy in the setting of single-ventricle physiology, discusses potential maternal cardiovascular concerns and describes commonly encountered obstetrical and neonatal complications. Management issues are addressed, including counseling, anesthetic considerations and the need for multidisciplinary specialized care.
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Gloan et al. (2011) conducted a review in Pregnancy in women with Fontan physiology. Pregnancy in women with Fontan palliation requires multidisciplinary specialized care to manage physiologic modifications, maternal cardiovascular concerns, and obstetrical and neonatal complications.
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