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Organisation of care for pregnancy in patients with congenital heart disease

Jolien W Roos Hesselink, Werner Budts, Fiona Walker, Julie De Backer UGent, Lorna Swan, William Stones, Peter Kranke, Karen Sliwa-Hahnle and Marc R Johnson (2017) HEART. 103(23). p.1854-1859
abstract
Improvements in surgery have resulted in more women with repaired congenital heart disease (CHD) surviving to adulthood. Women with CHD, who wish to embark on pregnancy require prepregnancy counselling. This consultation should cover several issues such as the long-term prognosis of the mother, fertility and miscarriage rates, recurrence risk of CHD in the baby, drug therapy during pregnancy, estimated maternal risk and outcome, expected fetal outcomes and plans for pregnancy. Prenatal genetic testing is available for those patients with an identified genetic defect using pregestational diagnosis or prenatal diagnosis chorionic villus sampling or amniocentesis. Centralisation of care is needed for high-risk patients. Finally, currently there are no recommendations addressing the issue of the delivery. It is crucial that a dedicated plan for delivery should be available for all cardiac patients. The maternal mortality in low-income to middle-income countries is 14 times higher than in high-income countries and needs additional aspects and dedicated care.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (review)
publication status
published
subject
keyword
PREIMPLANTATION GENETIC DIAGNOSIS, CARDIAC-DISEASE, EUROPEAN-SOCIETY, CESAREAN-SECTION, CARDIOVASCULAR PATHOLOGY, SOUTH-AFRICA, WOMEN, MANAGEMENT, CARDIOLOGY, OUTCOMES
journal title
HEART
Heart
volume
103
issue
23
pages
1854 - 1859
Web of Science type
Review
Web of Science id
000415570400007
ISSN
1355-6037
DOI
10.1136/heartjnl-2017-311758
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
8529121
handle
http://hdl.handle.net/1854/LU-8529121
date created
2017-08-19 16:34:29
date last changed
2018-03-14 10:06:20
@article{8529121,
  abstract     = {Improvements in surgery have resulted in more women with repaired congenital heart disease (CHD) surviving to adulthood. Women with CHD, who wish to embark on pregnancy require prepregnancy counselling. This consultation should cover several issues such as the long-term prognosis of the mother, fertility and miscarriage rates, recurrence risk of CHD in the baby, drug therapy during pregnancy, estimated maternal risk and outcome, expected fetal outcomes and plans for pregnancy. Prenatal genetic testing is available for those patients with an identified genetic defect using pregestational diagnosis or prenatal diagnosis chorionic villus sampling or amniocentesis. Centralisation of care is needed for high-risk patients. Finally, currently there are no recommendations addressing the issue of the delivery. It is crucial that a dedicated plan for delivery should be available for all cardiac patients. The maternal mortality in low-income to middle-income countries is 14 times higher than in high-income countries and needs additional aspects and dedicated care.},
  author       = {Roos Hesselink, Jolien W and Budts, Werner and Walker, Fiona and De Backer, Julie and Swan, Lorna and Stones, William and Kranke, Peter and Sliwa-Hahnle, Karen and Johnson, Marc R},
  issn         = {1355-6037},
  journal      = {HEART},
  keyword      = {PREIMPLANTATION GENETIC DIAGNOSIS,CARDIAC-DISEASE,EUROPEAN-SOCIETY,CESAREAN-SECTION,CARDIOVASCULAR PATHOLOGY,SOUTH-AFRICA,WOMEN,MANAGEMENT,CARDIOLOGY,OUTCOMES},
  language     = {eng},
  number       = {23},
  pages        = {1854--1859},
  title        = {Organisation of care for pregnancy in patients with congenital heart disease},
  url          = {http://dx.doi.org/10.1136/heartjnl-2017-311758},
  volume       = {103},
  year         = {2017},
}

Chicago
Roos Hesselink, Jolien W, Werner Budts, Fiona Walker, Julie De Backer, Lorna Swan, William Stones, Peter Kranke, Karen Sliwa-Hahnle, and Marc R Johnson. 2017. “Organisation of Care for Pregnancy in Patients with Congenital Heart Disease.” Heart 103 (23): 1854–1859.
APA
Roos Hesselink, J. W., Budts, W., Walker, F., De Backer, J., Swan, L., Stones, W., Kranke, P., et al. (2017). Organisation of care for pregnancy in patients with congenital heart disease. HEART, 103(23), 1854–1859.
Vancouver
1.
Roos Hesselink JW, Budts W, Walker F, De Backer J, Swan L, Stones W, et al. Organisation of care for pregnancy in patients with congenital heart disease. HEART. 2017;103(23):1854–9.
MLA
Roos Hesselink, Jolien W, Werner Budts, Fiona Walker, et al. “Organisation of Care for Pregnancy in Patients with Congenital Heart Disease.” HEART 103.23 (2017): 1854–1859. Print.