Pregnancy and Congenital Heart Disease: Moving Beyond the Current Risk Stratification Tools

Author:

Kulasekaran Ajitha1,Swan Lorna1ORCID

Affiliation:

1. Department of Medicine, University of Glasgow, Glasgow, UK; Scottish Adult Congenital Cardiac Service, Golden Jubilee National Hospital, Clydebank, UK

Abstract

Women with congenital heart disease have increased risks of complications during pregnancy. Several risk scoring tools have been developed to quantify the likelihood of adverse cardiac outcomes during pregnancy. This article describes how comprehensive pre-pregnancy or early pregnancy counseling needs to go well beyond these risk scores. Non-cardiac risk factors and adverse obstetric and fetal outcomes are vital components of the dialogue between the multidisciplinary team and the patient embarking on, or contemplating, pregnancy.

Publisher

Radcliffe Media Media Ltd

Subject

Cardiology and Cardiovascular Medicine

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