title: Congenital heart disease in pregnancy.
abstract: The story of congenital heart disease is one of the major successes of medicine in the last 50 years. Heart conditions previously associated with early death are now successfully treated. Many of these women are now in their child-bearing years wishing to have children of their own. All of these women should be offered comprehensive pre-conception counselling by a dedicated multi-disciplinary team. Each woman will present a unique set of cardiac and obstetric challenges that require an individualised assessment of risk and a carefully documented care plan. In this chapter, I describe the most common forms of congenital heart disease and the specific issues that should be assessed before conception. I present a systematic approach to risk stratification and care planning. These lesions range from mild disease with little implications for pregnancy to those with a sizable risk of maternal mortality or complications. I will also discuss fetal risk factors.
authors.affiliation: Adult Congenital Heart Disease Unit, Royal Brompton Hospital, London SW3 6NP, UK. Electronic address: L.swan@rbht.nhs.uk.
authors.forename: Lorna
authors.initials: L
authors.lastname: Swan
mesh_terms: D036861:Delivery, Obstetric; D037001:Directive Counseling; D005260:Female; D005817:Genetic Counseling; D006330:Heart Defects, Congenital / Q000503:physiopathology* / Q000628:therapy; D006801:Humans; D016742:Preconception Care; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000503:physiopathology* / Q000628:therapy; D018570:Risk Assessment
keywords: congenital heart disease; pre-conception counselling; pregnancy