Article

Pregnancy and contraception in young women with congenital heart disease: General considerations.

Toronto General Hospital, Mount Sinai Hospital and Toronto Congenital Cardiac Centre for Adults, University Health Network;
Paediatrics & child health (impact factor: 0.78). 04/2011; 16(4):e25-9. pp.e25-9
Source: PubMed

ABSTRACT Young women with heart disease are increasingly being seen in obstetrical referral centres owing, in large part, to the dramatic improvements in survival of young adults with congenital heart disease in recent years. Although pregnancies in most women with heart disease result in favourable outcomes, there are important exceptions that must be recognized. These exceptions pose significant mortality risk to the mother and/or the fetus. The present article outlines cardiovascular adaptations to pregnancy, general outcomes and management considerations for practitioners caring for pregnant young women with congenital heart disease. A lesion-specific review is published in a complementary article.

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    J J Nora, A H Nora
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    Ruth Whittemore, James A. Wells, Xavier Castellsague
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Keywords

complementary article
 
congenital heart disease
 
dramatic improvements
 
favourable outcomes
 
general outcomes
 
heart disease
 
heart disease result
 
lesion-specific review
 
obstetrical referral centres
 
practitioners
 
pregnant young women
 
present article
 
recent years
 
significant mortality risk
 
young adults
 
Young women
 

Rachel M Wald