Key result
Pregnancy in women with congenital heart disease is generally well tolerated but carries specific cardiac, obstetric, and neonatal risks that require careful pre-conception counseling and risk stratification.
Pre-pregnancy counseling, risk stratification using established models, and multidisciplinary care are essential for optimizing maternal and fetal outcomes in women with congenital heart disease.
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Supports pre-conception counseling in congenital heart disease; leaves open prospective validation of contemporary risk models.
Due to the enormous improvements in the treatment of children with congenital heart disease, an increasing number of patients reach adulthood nowadays. To achieve the aim of excellent care concerning pregnancy in this patient population, a pro-active discussion of pregnancy with all women inthis patient population is essential. Several risk stratifi cation models have been developed in order to identify high risk pregnancies and better inform patients about these risks. Counselling and dedicated care are needed to optimise both maternal and fetal outcomes. Better access to health caresystems contributes to further improvements in mortality and morbidity. Furthermore a well-developed, multidisciplinary plan for each individual patient concerning pregnancy, delivery and follow-up is essential.
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Hagen et al. (2017) conducted a review in Congenital heart disease. Pregnancy was evaluated. Pregnancy in women with congenital heart disease is generally well tolerated but carries specific cardiac, obstetric, and neonatal risks that require careful pre-conception counseling and risk stratification.
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