TY  - CHAP
M1  - Book, Section
TI  - Heart Disease & Pregnancy
A1  - Kiefer, Todd
A1  - Granger, Christopher B.
A1  - Jackson, Kevin P.
A2  - Papadakis, Maxine A.
A2  - McPhee, Stephen J.
A2  - Rabow, Michael W.
A2  - McQuaid, Kenneth R.
PY  - 2023
T2  - Current Medical Diagnosis & Treatment 2023
AB  - General  principles  to  discuss  with  the  patient  include  preconceptual  counseling,  pregnancy  risk  assessment,  genetic  risks,  environmental  risks,  and  pregnancy  management.  For  some  patients,  it  may  also  include  a  discussion  regarding  contraception,  termination  of  a  pregnancy,  and  a  conversation  about  not  only  the  delivery  but  what  will  happen  post-pregnancy  (including  issues  such  as  an  eventual  need  for  heart  surgery  or  transplantation).  In  a  review  of  1315  pregnancies  in  patients  with  heart  disease,  3.6%  had  serious  cardiovascular  complications  and  half  were  found  to  be  preventable.  Two-thirds  of  the  complications  occurred  in  the  antepartum  period.  Adverse  fetal  and  neonatal  events,  as  expected,  were  much  more  common  in  those  pregnancies  with  cardiovascular  events.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessmedicine.mhmedical.com/content.aspx?aid=1193148453
ER  -