Evaluation of contraceptive methods in women with congenital heart disease in Germany, Hungary and Japan

Koerten, Marc-André; Szatmári, András; Niwa, Koichiro; Ruzsa, Zoltán; Nagdyman, Nicole; Niggemeyer, Eva; Peters, Brigitte; Schneider, K. T. M.; Kuschel, Bettina; Mizuno, Yoshiko; Berger, Felix; Bauer, Ulrike; Kaemmerer, Harald

doi:10.1016/j.ijcard.2015.12.031

Cited by 9 publications

(7 citation statements)

References 16 publications

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“… 71) 76) 77) 78) Unfortunately, many women with CHD do not have adequate knowledge of safe contraception options. 76) 77) 78) 79) Estrogen-containing preparations are associated with thromboembolic risks and are contraindicated in women with cardiac conditions who are high-risk for thromboembolic complications. This includes women with mechanical valves, Eisenmenger syndrome and Fontan circulation.…”

Section: Contraceptionmentioning

confidence: 99%

Adult Congenital Heart Disease with Pregnancy

Niwa

2018

Korean Circ J

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The number of women with congenital heart disease (CHD) at risk of pregnancy is growing because over 90% of them are grown-up into adulthood. The outcome of pregnancy and delivery is favorable in most of them provided that functional class and systemic ventricular function are good. Women with CHD such as pulmonary hypertension (Eisenmenger syndrome), severe left ventricular outflow stenosis, cyanotic CHD, aortopathy, Fontan procedure and systemic right ventricle (complete transposition of the great arteries [TGA] after atrial switch, congenitally corrected TGA) carry a high-risk. Most frequent complications during pregnancy and delivery are heart failure, arrhythmias, bleeding or thrombosis, and rarely maternal death. Complications of fetus are prematurity, low birth weight, abortion, and stillbirth. Risk stratification of pregnancy and delivery relates to functional status of the patient and is lesion specific. Medication during pregnancy and post-delivery (breast feeding) is a big concern. Especially prescribing medication with teratogenicity should be avoidable. Adequate care during pregnancy, delivery, and the postpartum period requires a multidisciplinary team approach with cardiologists, obstetricians, anesthesiologists, neonatologists, nurses and other related disciplines. Caring for a baby is an important issue due to temporarily pregnancy-induced cardiac dysfunction, and therefore familial support is mandatory especially during peripartum and after delivery. Timely pre-pregnancy counseling should be offered to all women with CHD to prevent avoidable pregnancy-related risks. Successful pregnancy is feasible for most women with CHD at relatively low risk when appropriate counseling and optimal care are provided.

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Section: Contraceptionmentioning

confidence: 99%

Adult Congenital Heart Disease with Pregnancy

Niwa

2018

Korean Circ J

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“…These deficiencies have been also shown in other studies. [ 23 25 26 ] Given the high-risk pregnancy, especially unwanted pregnancies, in women with heart diseases, contraceptive method counseling is an important need of these women. [ 23 25 ] It is necessary to provide comprehensive reproductive health services to reduce the mortality and morbidity of these women.…”

Section: Discussionmentioning

confidence: 99%

Identifying and Responding to the Sexual Reproductive Health Needs of Women with Heart Disease

Kohan

Movahedi

Sadeghi

et al. 2022

Iranian Journal of Nursing and Midwifery Research

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Background: Recognizing the needs of women with heart disease in the field of reproductive health and meeting them can reduce the related complications. The aim of this study was to identify the sexual and reproductive health needs of these women. Materials and Methods: The present study was conducted with qualitative approach (Content analysis). Ten married women of reproductive age with heart disease and 20 providers and managers in, Isfahan, Iran, were selected by using purposive and snowball methods (in 2020). The research setting included heart disease clinics, offices of health team, comprehensive health centers, and the Isfahan Maternal Health Department. Data were collected by semi-structured individual face-to-face interviews in the clinic or other appropriate locations. Some interviews were conducted virtually. Analysis was performed by Qualitative contentment analysis / Conventional content analysis. Results: Sexual and reproductive health needs of women with heart disease were emerged in five main categories, “planned childbearing,” “ssociocultural support,” “Early reproductive health care of girls,” “health team attention to sexual health,” and “health system revision.” Conclusions: Providing comprehensive reproductive health services before and during pregnancy, family planning, and sexual health for women with heart disease is necessary. It seems that using a multidisciplinary team approach could improve their reproductive health.

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“…Просечна старост прве упо требе контрацептивних средстава у овим земљама била је 18,4 године. (17,18) Истраживање ставова о употреби контра цепције међу женама у Шведској пружило је информације да 72,1% жена тренутно користи модерну контрацепцију. (19) У нашој студији укупна преваленција употребе контрацепције код жена (старости од 15 до 49 година) била је 34,8%.…”

Section: дискусијаunclassified