Maternal Congenital Heart Disease and Pregnancy Outcome

Abstract

Despite potential difficulties and complications associated with congenital heart disease, careful cardiac and obstetric management in a tertiary referal centre resulted in good maternal and fetal outcomes.

Effect of maternal congenital heart defects on labor and delivery outcome: A population-based study

“…It is noted that no higher rates of cesarean section were found in the CHD group, and this finding contradicts previous studies [7][8][9]. The combination of higher rates of labor induction with similar rates of cesarean section may be explained by the tendency to treat women with CHD more aggressively, even when cardiac function is preserved and symptoms are not present.…”

“…The multidisciplinary treatment in a tertiary center such as the Soroka University Medical Center may also have contributed to this result; several studies have shown that treatment given by a multidisciplinary team, including obstetricians, cardiologists, anesthesiologists, and pediatricians, is an important factor in achieving a low maternal mortality and morbidity rate, as well as the attainment of a healthy course of pregnancy and delivery [1,9,[22][23][24]. The higher rates of fertility treatment and labor induction noted in the CHD group points to a more intensive medical involvement in this group.…”

“…Monitor tracings were re-interpreted by the authors with the use of the National Institute of Child Health and Human Development Research Planning Workshop guidelines [9].…”

“…According to these articles, high rates of spontaneous abortions and maternal and fetal morbidity and death are found among these women. Furthermore, these women have been found to have a higher rate of cesarean deliveries [7][8][9]. Also, Siu et al [10] found that the proportion of premature deliveries and of infants with low birth weight is higher among women with heart diseases.…”

Mitral Valve Prolapse in Pregnancy: Modern Concept

“…Therapists working in obstetrics consider MVP the most common heart anomaly in pregnant women [18]. The proportion of MVP in the structure of small heart anomalies in pregnant women is 60.8% [19]. In the recent past, this pathology was considered to be so frequent, especially among young women, that a number of authors proposed to consider MVP as a variant of the normal structure of the mitral valve [20].…”