print ISSN: 2411-3956
The course of pregnancy, childbirth and the postpartum period in women after heart surgery
##common.pageHeaderLogo.altText## Actual Questions of Modern Gynecology and Perinatology

Abstract

The review article examines the types of interventions carried out in the cardio-obstetric clinic: mitral commissurotomy, heart valve replacement, correction of congenital heart defects. In this group of women, attention was paid to contraindications for carrying a pregnancy, the management of pregnancy, childbirth and the postpartum period. In women with a perceived low to moderate risk of complications, regular follow-up and planning of labor offers the best chances for a favorable pregnancy outcome. Multicenter prospective studies are needed to improve monitoring of pregnancy, childbirth and the puerperium.

References

Regitz-Zagrosek V., Roos-Hesselink J.W., Bauersachs J., Blomström-Lundqvist C., Cífková R., De Bonis M. et al. 2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy. Eur Heart J. 2018; 39(34): 3165-3241. https://doi.org/10.1093/eurheartj/ehy340.

Firouzi A., Samiei N., Ahmadi S., Naderi N., Sadeghipour P., Sanati H.R. et al. Percutaneous Transluminal Mitral Commissurotomy in Pregnant Women with Severe Mitral Stenosis. J Tehran Heart Cent. 2019; 14(1): 12–17.

Siu S.C., Lam M., Le B., Garg P., Silversides C.K., Ray J.G. Morbidity in Pregnant Women with a Prosthetic Heart Valve. Am J Obstet Gynecol MFM. 2020; 2: 100105 https://doi.org/10.1016/j.ajogmf.2020.100105

Phillips S., Pirics M. Congenital heart disease and reproductive risk: an overview for obstetricians, cardiologists, and primary care providers. Methodist Debakey Cardiovasc J. 2017; 13(4): 238-242. https://doi.org/ 10.14797/mdcj-13-4-238.

Ведение беременности и родоразрешение женщин с пороками сердца: Пособие для врачей / В.А. Петрухин, Л.С. Логутова, И.О. Шугuнuн и др. - Москва: МАКС Пресс, 2019. - 36 с.

Raskind-Hood C., Saraf A., Riehle-Colarusso T., Glidewell J., Gurvitz M., Dunn J.E. et al. Assessing pregnancy, gestational complications, and co-morbidities in women with congenital heart defects (data from ICD-9-CM codes in 3 US surveillance sites). The American Journal of Cardiology. 2020; 125 (5): 812-819. https://doi.org/10.1016/j.amjcard.2019.12.001

Ramage K., Grabowska K., Silversides C., Quan H. Amy Metcalfe Association of Adult Congenital Heart Disease with Pregnancy, Maternal, and Neonatal Outcomes. JAMA Netw Open. 2019; 2(5): e193667. https://doi.org/10.1001/jamanetworkopen.2019.3667

Ntiloudi D., Zegkos T., Bazmpani M.A., Parcharidou D., Panagiotidis T., Hadjimiltiadeset S. et al. Pregnancy outcome in women with congenital heart disease: A single center experience. Hellenic J Cardiol. 2018; 59(3): 155-159. https://doi.org/10.1016/j.hjc.2017.08.008

Silversides C.K., Grewal J., Mason J., Sermer M., Kiess M., Rychel V. et al. Pregnancy outcomes in women with heart disease: the CARPREG II Study. J Am Coll Cardiol. 2018; 71(21): 2419-2430. https://doi.org/10.1016/j.jacc.2018.02.076

Bottega N., Malhamé I., Guo L., Ionescu-Ittu R., Therrien J., Marelli A. Secular trends in pregnancy rates, delivery outcomes, and related health care utilization among women with congenital heart disease. Congenit Heart Dis. 2019; 14: 735–44. https://doi.org/10.1111/chd.12811

Kim Y.Y., Goldberg L.A., Awh K., Bhamare T., Drajpuch D., Hirshberg A. et al. Accuracy of risk prediction scores in pregnant women with congenital heart disease. Congenit Heart Dis. 2019; 14: 470–8. https://doi.org/10.1111/chd.12750

Tutarel O., Baris L., Budts W., Abd-El Aziz M.G., Liptai C., Majdalany D. et al. Pregnancy outcomes in women with a systemic right ventricle and transposition of the great arteries results from the ESC-EORP Registry of Pregnancy and Cardiac disease (ROPAC). Heart 2021; 0: 1–7. https://doi.org/10.1136/heartjnl-2020-318685

Tutarel O., Ramlakhan K.P., Baris L., Subirana M.T., Bouchardy J., Nemes A. et al. Pregnancy Outcomes in Women After Arterial Switch Operation for Transposition of the Great Arteries: Results from ROPAC (Registry of Pregnancy and Cardiac Disease) of the European Society of Cardiology EURObservational Research Programme. Journal of the American Heart Association. 2021;10(1): e018176. https://doi.org/ 10.1161/JAHA.120.018176.

Stoll V.M., Drury N.E., Thorne S., Selman T., Clift P., Chong H. et al. Pregnancy outcomes in women

with transposition of the great arteries after an arterial switch operation. JAMA Cardiol. 2018; 3:

–1122. https://doi.org/10.1001/jamacardio.2018.2747

Horiuchi C., Kamiya C.A., Ohuchi H., Miyoshi T., Tsuritani M., Iwanaga N. et al. Pregnancy outcomes and mid‐term prognosis in women after arterial switch operation for dextro‐transposition of the great arteries-tertiary hospital experiences and review of literature. J Cardiol. 2019; 73: 247–254. https://doi.org/10.1016/j.jjcc.2018.11.007

Fricke T.A., Konstantinov I.E., Grigg L.E., Zentner D. Pregnancy outcomes in women after the arterial switch operation. Heart Lung Circ. 2020; 29:1087-1092. https://doi.org/10.1016/j.hlc.2019.07.016

PDF (Azərbaycanca)
PDF (Azərbaycanca)

Keywords

pregnancy
childbirth
the postpartum period
mitral commissurotomy
heart valve replacement
correction of congenital heart defects hamiləlik
doğuş
doğuşdan sonrakı dövr
mitral komissurotomiya
protez ürək klapanları
korreksiyası anadangəlmə ürək qüsurları беременность
роды
период полового созревания
протезирование сердечных клапанов
коррекция врожденных пороков сердца