Maternal Congenital Heart Disease in Pregnancy

Megan E Foeller; Timothy M Foeller; Maurice Druzin

doi:10.1016/j.ogc.2018.01.011

Maternal Congenital Heart Disease in Pregnancy

Obstet Gynecol Clin North Am. 2018 Jun;45(2):267-280. doi: 10.1016/j.ogc.2018.01.011.

Authors

Megan E Foeller¹, Timothy M Foeller², Maurice Druzin³

Affiliations

¹ Obstetrics and Gynecology, Stanford University, Stanford Hospital, 300 Pasteur Drive, Room G302, 5317, Stanford, CA 94305-5317, USA. Electronic address: [email protected].
² Internal Medicine, Stanford Health Care-ValleyCare, 5555 West Positas Boulevard, 1 West Hospitalist Room 1, Pleasanton, CA 94588, USA.
³ Obstetrics and Gynecology, Stanford University, Stanford Hospital, 300 Pasteur Drive, Room G302, 5317, Stanford, CA 94305-5317, USA.

PMID: 29747730
DOI: 10.1016/j.ogc.2018.01.011

Abstract

Congenital heart disease comprises most maternal cardiac diseases in pregnancy and is an important cause of maternal, fetal, and neonatal morbidity and mortality worldwide. Pregnancy is often considered a high-risk state for individuals with structural heart disease as a consequence of a limited ability to adapt to the major hemodynamic changes associated with pregnancy. Preconception counseling and evaluation are of utmost importance, as pregnancy is contraindicated in certain cardiac conditions. Pregnancy can be safely accomplished in most individuals with careful risk assessment before conception and multidisciplinary care throughout pregnancy and the postpartum period.

Keywords: Congenital heart disease; Pregnancy; Pulmonary hypertension; Tetralogy of Fallot; Transposition of great arteries.

Publication types

Review

MeSH terms

Counseling
Female
Heart Defects, Congenital / complications
Heart Defects, Congenital / therapy*
Humans
Preconception Care
Pregnancy
Pregnancy Complications, Cardiovascular / therapy*
Risk Assessment