Pregnancy in a woman with a Fontan circulation: A review. (March 2018)

• Record Type: Journal Article
• Authors: Moroney, Emily; Posma, Elske; Dennis, Alicia; d'Udekem, Yves; Cordina, Rachael; Zentner, Dominica
• Is Part Of: Obstetric medicine. Volume 11:Number 1(2018:Mar.)
• Page Start: 6
• Page End: 11
• Publication Date: 2018-03
• Subjects: Heart defects -- congenital -- pregnancy complications -- arrhythmias -- cardiac -- heart failure -- Fontan circulation; Pregnancy -- Complications -- Periodicals; Obstetrics -- Periodicals; 618.2
• DOI: 10.1177/1753495X17737680
• Languages: English
• ISSNs: 1753-495X

Abstract

More women with congenital heart disease survive to childbearing ages, due to improvements in surgical practice and postoperative care. This review discusses pregnancy in women with a single ventricle, describing maternal obstetric and cardiovascular complications and the increased risks of prematurity and adverse neonatal outcomes. Recommendations are made based on current understanding, guidelines and published literature, with recognition that there is much knowledge yet to be gained.