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Outcome of Pregnancy in Women With Congenital Heart Disease. A Literature Review

  • Willem Drenthen*
  • , Petronella G. Pieper
  • , Jolien W. Roos-Hesselink
  • , Willem A. van Lottum
  • , Adriaan A. Voors
  • , Barbara J.M. Mulder
  • , Arie P.J. van Dijk
  • , Hubert W. Vliegen
  • , Sing C. Yap
  • , Philip Moons
  • , Tjark Ebels
  • , Dirk J. van Veldhuisen
  • *Corresponding author for this work
  • University Medical Centre Groningen
  • Amsterdam UMC
  • Radboud University Medical Center
  • Leiden University Medical Centre
  • University Hospitals Leuven

Research output: Contribution to journalArticleAcademicpeer-review

559 Citations (Scopus)

Abstract

A search of peer-reviewed literature was conducted to identify reports that provide data on complications associated with pregnancy in women with structural congenital heart disease (CHD). This review describes the outcome of 2,491 pregnancies, including 377 miscarriages (15%) and 114 elective abortions (5%). Important cardiac complications were seen in 11% of the pregnancies. Obstetric complications do not appear to be more prevalent. In complex CHD, premature delivery rates are high, and more children are small for gestational age. The offspring mortality was high throughout the spectrum and was related to the relatively high rate of premature delivery and recurrence of CHD.

Original languageEnglish
Pages (from-to)2303-2311
Number of pages9
JournalJournal of the American College of Cardiology
Volume49
Issue number24
DOIs
Publication statusPublished - 19 Jun 2007

Bibliographical note

Funding Information:
Supported by Netherlands Heart Foundation Grant 2002 B125 to Dr. Pieper and by the Interuniversity Cardiology Institute, the Netherlands (ICIN).

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