Key result
High-risk CHD in pregnancy demands individualized multidisciplinary care tailored to anatomical and physiological complexity.
Why the study?
With improved survival, a growing population of adults with complex CHD are reaching reproductive age, making high-risk CHD in pregnancy a complex clinical challenge.
Pregnancy in high-risk congenital heart disease requires individualized risk stratification and multidisciplinary management due to significant physiological changes and increased risk of maternal and fetal complications.
Mandates multidisciplinary individualized care in high-risk CHD pregnancy; leaves open prospective studies to validate risk stratification.
High-risk congenital heart disease (CHD) in pregnancy presents a complex clinical challenge. With improved medical care and increased survival rates, a growing population of adults with complex CHD are surviving to adulthood, including women of reproductive age. This chapter focuses on risk stratification and management of pregnant women with high-risk CHD, emphasizing the importance of considering both anatomical and physiological complexity. Maternal physiological changes, such as blood volume increase, cardiac output changes, and alterations in vascular resistance, can significantly impact high-risk CHD patients. Management of high-risk CHD in pregnancy necessitates a multidisciplinary approach and individualized care.
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Rajpal et al. (2024) conducted a review in High-risk congenital heart disease in pregnancy. Management of high-risk congenital heart disease in pregnancy necessitates a multidisciplinary approach and individualized care considering both anatomical and physiological complexity.
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