Leonard H, O'Sullivan J J, Hunter S
Department of Paediatric Cardiology, Freeman Hospital, Newcastle upon Tyne.
Heart. 1996 Jul;76(1):60-2. doi: 10.1136/hrt.76.1.60.
To determine whether women with congenital heart disease were receiving appropriate advice on contraception.
Adult congenital heart disease clinic in a tertiary cardiac referral centre.
Questionnaire administered to 35 consecutive female patients attending the adult congenital clinic. The cardiologist assessed what the risk would be if each patient used an oestrogen containing contraceptive pill (OCP).
Of the 33 patients admitted to the study 6 patients thought their heart condition precluded them from taking an OCP when in fact it did not and 3 incorrectly said that an OCP would be suitable for them. Three women with relatively minor lesions had been incorrectly denied the OCP and 2 further patients were using inappropriate methods. There had been 6 unwanted pregnancies in the total group.
Many women with congenital heart disease do not know the most appropriate method of contraception for them or have received incorrect advice. It is often patients with less severe lesions who receive the most inappropriate advice. It is clear that the family planning needs of this population are currently poorly catered for. Each unit must ensure that the information necessary in making informed decisions on contraception is available to the doctor advising on family planning.
确定患有先天性心脏病的女性是否获得了关于避孕的适当建议。
一家三级心脏转诊中心的成人先天性心脏病诊所。
对连续就诊于成人先天性心脏病诊所的35名女性患者进行问卷调查。心脏病专家评估了每位患者使用含雌激素避孕药（OCP）的风险。
在纳入研究的33名患者中，6名患者认为其心脏状况使其不能服用OCP，而实际上并非如此；3名患者错误地表示OCP对她们适用。3名患有相对轻微病变的女性被错误地拒绝使用OCP，另有2名患者采用了不适当的避孕方法。整个组中共有6例意外怀孕。
许多患有先天性心脏病的女性不知道最适合自己的避孕方法，或者得到了错误的建议。往往是病情较轻的患者得到了最不适当的建议。显然，目前这一人群的计划生育需求未得到充分满足。每个单位必须确保为提供计划生育建议的医生提供做出关于避孕的明智决策所需的信息。
