Key result
Coordinated multi-specialist care supports successful delivery without serious complications in two Eisenmenger syndrome pregnancies.
Case Report (n=2)
Despite the high mortality risk associated with Eisenmenger syndrome in pregnancy, successful maternal and neonatal outcomes are possible with coordinated multi-specialist care.
Supports feasibility of successful outcomes in Eisenmenger pregnancies with multidisciplinary care; hypothesis-generating and should not yet change practice.
Pregnancy complicated with Eisenmenger syndrome is associated with high risk to the fetus as well as the mother. There is approximately 50% risk of sudden maternal death, frequently occuring a few days postpartum and the overall fetal wastage is reported to be up to 75%. Patients with Eisenmenger syndrome are advised to refrain from pregnancy or to terminate pregnancy by the end of rst trimester itself. Management of these patients requires a co- ordinated multi-specialist care when such pregnancies reach a stage where safe termination is not advisable. However, in spite of all the risks, a few patients deliver successfully with a good maternal and neonatal outcome. We present 2 cases reported till third trimester and delivered a healthy baby and were subsequently discharged on the 10th postpartum day without any serious complications.
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Patel et al. (2021) conducted a case report in Eisenmenger syndrome in pregnancy (n=2). Pregnancy with Eisenmenger syndrome was evaluated on Maternal and neonatal outcome. Two pregnant patients with Eisenmenger syndrome successfully delivered healthy babies and were discharged on the 10th postpartum day without serious complications.
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