title: [Course and prognosis of pregnancy, delivery and childbirth in patients with congenital heart defects].
abstract: On the conditions of an optimal therapy and with reference to certain contraindications the prognosis of patients with congenital heart diseases and their children scarcely differs from that of the normal population during gestation. The rate of decompensation in pregnancy was 4.1%, with 3.9% the rate of gestosis was significantly below that of the other patients. The perinatal mortality of the children of patients with congenital vitium cordis os 2.23%, the rate of newborn of 11.2% and the proportion of hypotrophic children of 8.38% were also not increased compared with the totality. By changed diagnostic and therapeutic conditions the relation of the congenital to the acquired vitia cordis has much altered in favour of the congenital ones. With a high proportion of women who underwent an operation of the heart among our patients the results shows that, apart from the already generally accepted absolute contraindications for a pregnancy, the prognosis for patients with stenoses of the outlet is clearly worse than that of the patients with other congenital heart diseases.
mesh_terms: D005260:Female; D006330:Heart Defects, Congenital / Q000503:physiopathology*; D006801:Humans; D007223:Infant; D007226:Infant Mortality; D007744:Obstetric Labor Complications / Q000503:physiopathology*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000503:physiopathology*; D011379:Prognosis
vernacular_title: Verlauf und Prognose von Schwangerschaft, Geburt und Wochenbett bei Patientinnen mit angeborenem Herzfehler.