title: Congenital heart disease in pregnancy.
abstract: BACKGROUND
  Pregnancy, birth, and the puerperium are associated with significant physiological changes and adaptations in the cardiovascular system, which pose a significant risk to pregnant women with congenital heart disease (CHD). Thanks to advances in pediatric cardiac surgery and cardiology the majority of children with CHD survive to adulthood, and an increasing number eventually become pregnant. In fact, cardiac disease - mostly congenital - is now a leading cause of maternal death in western industrialized countries.
  
  
  METHODS
  Selective literature review.
  
  
  CONCLUSIONS
  Optimal care of women with CHD before, during, and after pregnancy requires a multidisciplinary team including obstetricians, cardiologists, and anaesthetists. Successful pregnancy at a minimum risk is feasible for most women with CHD when appropriate counseling and optimal care are provided.
authors.forename: Anselm
authors.initials: A
authors.lastname: Uebing
authors.forename: Michael A
authors.initials: MA
authors.lastname: Gatzoulis
authors.forename: Constantin
authors.initials: C
authors.lastname: von Kaisenberg
authors.forename: Hans-Heiner
authors.initials: HH
authors.lastname: Kramer
authors.forename: Alexander
authors.initials: A
authors.lastname: Strauss