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Management of the Pregnant Woman with Congenital Heart Disease

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Pediatric Cardiology

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Abstract

As the number of adult patients with CHD increase, so do the number of women of childbearing age. While maternal mortality rates are low, women with CHD have higher rates of cardiac complications during pregnancy. Pregnancy among the CHD population should involve: (1) a multidisciplinary approach between cardiology, obstetrics, and anesthesiology, (2) patient education beginning with preconception counseling and contraception management, and (3) close monitoring during gestation and through the postpartum period. Each pregnancy course should be individually tailored, depending on the patient’s structural disease, current state of health and comorbidities. With appropriate risk factor stratification and multidisciplinary management, a successful pregnancy can be an achievable goal for many women with CHD.

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Authors and Affiliations

  1. Division of Internal Medicine and General Pediatrics, Georgetown University, Washington, DC, USA

    Ashley Park

  2. Division of Pediatric Cardiology, Children’s National Hospital, Washington, DC, USA

    Kristina Barbera, Rachel Steury, Tacy Downing, Seiji Ito & Anitha John

  3. Division of Maternal Fetal Medicine, Mayo Clinic, Rochester, MN, USA

    Carl Rose

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  1. Ashley Park
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  2. Kristina Barbera
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  3. Carl Rose
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  4. Rachel Steury
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  5. Tacy Downing
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  6. Seiji Ito
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  7. Anitha John
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Correspondence to Anitha John .

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Editors and Affiliations

  1. Lurie Children's Hospital, Northwestern Memorial Hospital, Chicago, IL, USA

    Ra-id Abdulla

  2. Lurie Children's Hospital of Chicago, Northwestern Memorial Hospital, Chicago, USA

    Stuart Berger

  3. Lurie Children's Hospital of Chicago, Northwestern Memorial Hospital, Chicago, USA

    Carl Backer

  4. King's College, University College London, London, UK

    Robert Anderson

  5. Weill Cornell Medical College, Cornell University, New York, USA

    Ralf Holzer

  6. University of Amsterdam, Amsterdam, Noord-Holland, The Netherlands

    Nico Blom

  7. Lurie Children's Hospital of Chicago, Northwestern Memorial Hospital, Chicago, IL, USA

    Joshua Robinson

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Park, A. et al. (2023). Management of the Pregnant Woman with Congenital Heart Disease. In: Abdulla, Ri., et al. Pediatric Cardiology. Springer, Cham. https://doi.org/10.1007/978-3-030-42937-9_98-1

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  • DOI: https://doi.org/10.1007/978-3-030-42937-9_98-1

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  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-42937-9

  • Online ISBN: 978-3-030-42937-9

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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