Key result
Both the patient with surgically corrected Tetralogy of Fallot and the patient with uncorrected Tetralogy of Fallot successfully delivered healthy babies with appropriate medical management.
Case Report (n=2)
No
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Pregnancy in women with Tetralogy of Fallot can result in successful maternal and fetal outcomes with appropriate management, though uncorrected TOF carries higher risks requiring careful medical management.
Two pregnant ladies came with Tetralogy of Fellot (TOF) for antenatal care. One of them had been operated and the other one was not operated. One who had been operated delivered a healthy baby. The other one was medically managed with oxygen, propranolol and maintainance of hydration. She delivered a normal baby with normal delivery. In repaired Tetralogy of Fallot (rTOF), the risk of pregnancy is dependant on the degree of residual haemodynamic impairment. Where a good repair has been achieved, pregnancy is usually well tolerated in the absence of pregnancy complications such as pre-eclampsia. In patients with uncorrected Tetralogy of Fallot, attention to volume status should be continued during the early postpartum period. A reliable contraceptive plan should be made, permanent sterilization is a good alternative. doi: 10.3329/uhj.v5i1.3442 University Heart Journal Vol. 5, No. 1, January 2009 42-43
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Hahan et al. (2009) conducted a case report in Tetralogy of Fallot in pregnancy (n=2). Surgical correction of Tetralogy of Fallot vs. Uncorrected Tetralogy of Fallot was evaluated on Maternal and fetal outcome. Both the patient with surgically corrected Tetralogy of Fallot and the patient with uncorrected Tetralogy of Fallot successfully delivered healthy babies with appropriate medical management.
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