Choosing the best contraceptive method for the adult with congenital heart disease.
As women with congenital heart disease (CHD) approach childbearing age, issues such as pregnancy and contraception need to be addressed. Women with CHD represent a heterogeneous population. While some have simple cardiac lesions and thus have contraceptive risks that are no different from those of the general population, others have complex, multisystem disease such that incorrect contraception advice can be associated with serious health consequences. Choosing a contraceptive requires consideration of the risk of pregnancy; the available contraception options; their risks, failure rates, and benefits; and the preferences of the woman. This review focuses on contraceptive selection in women with CHD.
Silversides
Candice K
CK
University of Toronto Pregnancy and Heart Disease Research Program, Toronto General Hospital, Ontario, Canada. candice.silversides@uhn.on.ca
Sermer
Mathew
M
Siu
Samuel C
SC
D003267:Contraception / Q000009:adverse effects* / Q000379:methods*; D003271:Contraceptive Agents, Female / Q000009:adverse effects* / Q000627:therapeutic use*; D003278:Contraceptives, Oral, Hormonal / Q000009:adverse effects / Q000627:therapeutic use; D003376:Counseling; D005260:Female; D006330:Heart Defects, Congenital; D006801:Humans; D010353:Patient Education as Topic; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D018570:Risk Assessment; D012307:Risk Factors; D014944:World Health Organization
D003271:Contraceptive Agents, Female; D003278:Contraceptives, Oral, Hormonal