title: [Heart disease and pregnancy].
abstract: Pregnancy is associated with important haemodynamic changes that increase during delivery and may decompensate an underlying heart disease. Some situations (fortunately rare) are at very high risk and can contra-indicate pregnancy (Eisenmenger syndrome, severe stenotic left heart valve, severely dilated aorta and severe left ventricular dysfunction). Women with less severe disease can have a pregnancy with specific follow-up (shunt lesions, operated tetralogy of Fallot, mecanical valve). Peri-partum cardiomyopathy is an entity specific to pregnancy because of timing of its diagnosis. The presence of heart disease during pregnancy raises a number of different problems. This underlines the need for a multidisciplinary approach at each phase: before and during pregnancy as well as during the post-partum period. Modalities of delivery should be discussed and planned taking into account the type of heart disease and its tolerance towards the end of pregnancy.
authors.affiliation: Unité clinique Cardiopathies congénitales de l'adulte, hôpital européen Georges-Pompidou, AP-HP 75908 Paris Cedex 15, France. laurence.iserin@egp.aphp.fr
authors.forename: Laurence
authors.initials: L
authors.lastname: Iserin
authors.forename: Magalie
authors.initials: M
authors.lastname: Ladouceur
authors.forename: Sarah
authors.initials: S
authors.lastname: Cohen
mesh_terms: D036861:Delivery, Obstetric; D005260:Female; D006331:Heart Diseases / Q000628:therapy*; D006439:Hemodynamics; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000628:therapy*; D018566:Pregnancy, High-Risk; D011295:Prenatal Care