Key result
CHD type, prior corrective surgery, and functional status predict maternal and fetal outcomes during pregnancy.
Physicians must be familiar with congenital heart disease and its implications to properly manage maternal and fetal outcomes in pregnant patients.
May inform lesion-specific counseling in congenital heart disease pregnancies; leaves open prospective validation of determinants.
As the detection and treatment of congenital heart disease improves, more women are reaching childbearing age. The type of congenital heart disease, whether there has been corrective surgery, and the patient's functional status determines the maternal as well as fetal outcome. The patient may present to her physician for preconceptual counseling or late in her pregnancy with little care and in severe distress. These possible situations necessitate that the physician becomes familiar with congenital heart disease and its implications in the pregnant patient.
No takes yet. Share an insight, caveat, or question.
Sciscione et al. (1993) studied this question. Congenital heart disease type, prior corrective surgery, and functional status determine maternal and fetal outcomes in pregnant women.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: