Chronic heart disease in pregnancy: exploring Marfan syndrome

Abstract

Coronary heart disease is the biggest killer in the UK, causing more than a quarter of deaths in 2018 ( British Heart Foundation, 2018 ). Congenital defects are the most common cause of heart disease in pregnancy ( Wylie and Bryce, 2016 ). This article will discuss Marfan syndrome and the impact this has on pregnancy and childbirth. Current literature and research will be appraised and discussed to explore mode of delivery during the second stage of labour and calculate the most appropriate method of delivery. Additionally, this article will address how the midwife can support women with Marfan syndrome during the pregnancy booking, antenatal period and intrapartum period without labelling them, and discuss how this may be achieved in relation to the uncertainty reduction communication theory.

Pregnancy following personalised aortic root support in Marfan syndrome

“…Approximately 2500 women of childbearing age are affected in the UK, with de novo mutations in about 25% of cases. 8,9 MFS is one of over 600 conditions approved for PGD in the UK. 4,10 Women with MFS demand detailed preconception care, ensuring a clear understanding of their pregnancy risks and options to minimise them.…”

“…Approximately 2500 women of childbearing age are affected in the UK, with de novo mutations in about 25% of cases. 8,9 MFS is one of over 600 conditions approved for PGD in the UK. 4,10…”