Key result
Pregnancy with CHD is linked to increased maternal and fetal risks requiring multidisciplinary management.
Why the study?
Women with congenital heart disease planning pregnancy are at increased risk of cardiovascular complications and adverse pregnancy outcomes, requiring optimized management strategies.
Multidisciplinary management based on ESC guidelines is crucial for optimizing outcomes in pregnant women with congenital heart disease due to their high risk of maternal and fetal complications.
Answers are grounded in this paper and cite their sources.
Women with CHD face elevated maternal-fetal risks; leaves open optimal risk-stratification strategies in prospective studies.
Annually, there > 30,000 infants are born with congenital heart defects; in different populations, the prevalence of congenital heart disease (CHD) varies from 2.4 to 14.15%. Women with CHD planning pregnancy are at increased risk of heart failure, arrhythmias, cerebrovascular disease, and embolism. In such patients, pregnancy course is complicated by intrauterine growth restriction, pre-eclampsia, and preterm birth. Their newborns generally have a low birth weight and high risk of congenital malformations including heart defects. European Society of Cardiology (ESC) developed risk assessment-based guidelines to optimise the management of pregnant women with CHD. This approach requires a cooperation of obstetrician-gynecologists, general practitioners, and cardiologists.
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Рудаева et al. (2019) conducted a review in Congenital heart disease in pregnancy. Pregnancy in women with congenital heart disease is associated with increased risks of maternal cardiovascular complications and adverse fetal outcomes, requiring multidisciplinary management.
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