Halpern Dan G, Penfield Christina A, Feinberg Jodi L, Small Adam J
NYU Adult Congenital Heart Disease Program, Leon H. Charney Division of Cardiology, NYU Grossman School of Medicine and NYU Langone Health, New York, NY 10016, USA.
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, NYU Grossman School of Medicine and NYU Langone Health, New York, NY 10016, USA.
J Cardiovasc Dev Dis. 2023 Apr 22;10(5):186. doi: 10.3390/jcdd10050186.
The prevalence of congenital heart disease (CHD) in pregnancy is rising due to the improved survival of patients with CHD into childbearing age. The profound physiological changes that occur during pregnancy may worsen or unmask CHD, affecting both mother and fetus. Successful management of CHD during pregnancy requires knowledge of both the physiological changes of pregnancy and the potential complications of congenital heart lesions. Care of the CHD patient should be based on a multidisciplinary team approach beginning with preconception counseling and continuing into conception, pregnancy, and postpartum periods. This review summarizes the published data, available guidelines and recommendations for the care of CHD during pregnancy.
由于先天性心脏病（CHD）患者存活至育龄期的比例提高，孕期先天性心脏病的患病率正在上升。孕期发生的深刻生理变化可能会使先天性心脏病恶化或使其显现出来，对母亲和胎儿都会产生影响。孕期成功管理先天性心脏病需要了解孕期的生理变化以及先天性心脏病变的潜在并发症。对先天性心脏病患者的护理应基于多学科团队的方法，从孕前咨询开始，持续到受孕、孕期和产后阶段。本综述总结了已发表的数据、现有的孕期先天性心脏病护理指南和建议。
