Pregnancy Outcomes and Risk Evaluation in a Contemporary Adult Congenital Heart Disease Cohort

Kirby, Alyssa; Curtis, Elizabeth; Hlohovsky, Stephanie; Brown, A; O’Donnell, Clare

doi:10.1016/j.hlc.2021.03.005

Cited by 7 publications

(6 citation statements)

References 17 publications

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“…We demonstrated a difference in iatrogenic prematurity, where women in higher mWHO classes were more likely for this outcome. Accordingly, studies in Denmark (Kloster et al) and New Zealand (Kirby et al) demonstrated a higher risk of preterm birth in women with more complex congenital heart disease [9,16]. According to the literature, the preterm birth rate is 8.0-17.1% in ACHD women [12,13,[16][17][18][19][20].…”

Section: Discussionmentioning

confidence: 99%

“…However, this study also included women with cardiomyopathy or ischemic heart disease [11]. In our study a total of 38.9% delivered by cesarean section compared to 19-46.6% according to literature [13,16,17,19,22]. In comparison, according to The Swedish Pregnancy Register, approximately 20% of all women delivering in 2021 at either Lund University Hospital or Malmo ¨University Hospital delivered by cesarean section [23].…”

Section: Discussionmentioning

confidence: 99%

“…According to The Swedish Pregnancy Register; 7% with vaginal delivery and 15% with cesarean section bled more than 1000 ml of all deliveries in Sweden in 2021 [23]. According to the literature, postpartum hemorrhage complicates 0.9-25.8% of ACHD deliveries; [16,18,20,22] however, different diagnostic criteria of postpartum hemorrhage may make comparisons difficult.…”

Section: Discussionmentioning

confidence: 99%

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Increased cesarean section rate and premature birth according to modified WHO maternal cardiovascular risk in pregnant women with congenital heart disease

Wedlund,

von Wowern,

Hlebowicz

2023

PLoS ONE

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Background During pregnancy and delivery, hemodynamics are altered and complex congenital heart disease has been associated with adverse maternal and neonatal outcomes. We sought to investigate pregnancy outcome and complications in relation to complexity of heart condition. Materials and methods We studied women with ACHD discussed at multidisciplinary conferences at Lund University Hospital March 2009-May 2021. We studied 149 pregnancies in 101 women. We scored each woman retrospectively according to the modified World Health Organization (mWHO) risk classification and included patients in risk class I (n = 36, 24.1%), II (n = 43, 28.9%), II-III (n = 43, 28.9%), III (n = 24, 16.1%) and IV (n = 3, 2.0%). Results Women with mWHO class ≥III underwent cesarean section more often than women in less complex mWHO classes, (OR, 5.1; 95% CI, 2.0–12.5; p<0.001). The odds of premature delivery were significantly higher among pregnant women with mWHO class ≥III (OR, 6.7; 95% CI, 2.6–17.4; p<0.001). We found no difference in incidence of preeclampsia, gestational hypertension, gestational diabetes, hemorrhage >1000 ml or cardiac defect in the neonate depending on WHO-class. Women in mWHO classes III-IV had a higher rate of fetal growth restriction (FGR) compared to women in mWHO classes I, II, II-III (p<0.007). Conclusions Our findings indicate that women with more complex heart disease (mWHO classes III or IV) tend to have a higher rate of cesarean section, premature birth and FGR.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Increased cesarean section rate and premature birth according to modified WHO maternal cardiovascular risk in pregnant women with congenital heart disease

Wedlund,

von Wowern,

Hlebowicz

2023

PLoS ONE

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“…Süni ürək qapaqları olan qadınlarda doğuşların aparılması. Ürək qapaqları protezi olan hamilə qadınlarda doğuşun optimal yolu, II dövrdə gücənmələri mütləq istisna olmaqla, təbii doğum yolları ilə doğuşlardır [20,21].…”

Section: Doğuşun Aparılmasının Xüsusiyyətləri (üMumi Prinsiplər)unclassified

“…AÜQ-nun vaxtında (uşaqlıqda) aparılmış cərrahi müalicəsi və yaxşı effekti halda doğuş, bir qayda olaraq, fəsadsız və cərrahi vasitələrsiz təbii doğum yollarla başa çatır. Aortanın koarktasiyasının cərrahi müalicəsində doğuşların aparılmasında fərdi yanaşmaq lazımdır, əksər hallarda gücənmələri söndürmək lazımdır [5,[18][19][20][21].…”

Section: Doğuşun Aparılmasının Xüsusiyyətləri (üMumi Prinsiplər)unclassified

Qadınlarda ürək əməliyyatı sonrası hamiləliyin gedişi, doğuş və doğuşdan sonraki dövr

Huseynova

2023

modern gynecology

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Hal-hazırda, ürək cərrahiyyəsinin intensiv inkişafı və müvəffəqiyyəti sayəsində qazanılmış və ya anadangəlmə ürək qüsurlarının cərrahi korreksiyasına məruz qalan hamilə qadınların sayı artmaqdadır. Əksər hallarda cərrahi müalicə qadını təkçəhəyat və iş qabiliyyətinə yox, həm də reproduktiv funksiyanı qaytarır. Son məlumatlar ürək-damar xəstəliklərinin hamiləliklə bağlı ölümlərin 26,5% -ni təşkil etdiyini göstərir [1, 2].Hazırki məqalənin məqsədi ürək əməliyyatı keçirən qadınlarda hamiləlik, doğuş və doğuşdan sonrakı dövrlə bağlı mövcud məlumatların analitik araşdırılmasıdır.

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Characteristics and outcomes of socioeconomically disadvantaged pregnant individuals with adult congenital heart disease presenting to a Cardio-Obstetrics Program

Yellin,

Wiener,

Kankaria

et al. 2023

American Journal of Obstetrics & Gynecology MFM

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Pregnancy Outcomes and Risk Evaluation in a Contemporary Adult Congenital Heart Disease Cohort

Cited by 7 publications

References 17 publications

Increased cesarean section rate and premature birth according to modified WHO maternal cardiovascular risk in pregnant women with congenital heart disease

Increased cesarean section rate and premature birth according to modified WHO maternal cardiovascular risk in pregnant women with congenital heart disease

Qadınlarda ürək əməliyyatı sonrası hamiləliyin gedişi, doğuş və doğuşdan sonraki dövr

Characteristics and outcomes of socioeconomically disadvantaged pregnant individuals with adult congenital heart disease presenting to a Cardio-Obstetrics Program

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