ANMCO/SICP/SIGO Consensus document : Pregnancy and congenital heart disease
The success of cardiac surgery over the past 50 years has increased numbers and median age of survivors with congenital heart disease (CHD). Adults now represent two-thirds of patients with CHD; in the United States alone the number is estimated to exceed 1 million.In this population many affected women reach reproductive age and wish to have children. While in many CHD patients pregnancy can be accomplished successfully, some special situations with complex anatomy, iatrogenic or residual pathology are associated with an increased risk of severe maternal and fetal complications. Pre-conception counseling allows women to come to truly informed choices. Risk stratification tools can also help high-risk women to eventually renounce to pregnancy and to adopt safe contraception options. Once pregnant, women identified as intermediate or high-risk should receive multidisciplinary care involving a cardiologist, an obstetrician and an anesthesiologist with specific expertise in managing this peculiar medical challenge.This document is intended to provide cardiologists working in hospitals where an Obstetrics and Gynecology Department is available with a streamlined and practical tool, useful for them to select the best management strategies to deal with a woman affected by CHD who desires to plan pregnancy or is already pregnant.
Medienart: |
E-Artikel |
---|
Erscheinungsjahr: |
2016 |
---|---|
Erschienen: |
2016 |
Enthalten in: |
Zur Gesamtaufnahme - volume:17 |
---|---|
Enthalten in: |
Giornale italiano di cardiologia (2006) - 17(2016), 9 vom: 20. Sept., Seite 687-755 |
Sprache: |
Italienisch |
---|
Weiterer Titel: |
Documento di consenso ANMCO/SICP/SIGO: Gravidanza e cardiopatie congenite |
---|
Beteiligte Personen: |
Bianca, Innocenzo [VerfasserIn] |
---|
Links: |
---|
Themen: |
Consensus Development Conference |
---|
Anmerkungen: |
Date Completed 06.04.2017 Date Revised 06.04.2017 published: Print Citation Status MEDLINE |
---|
doi: |
10.1714/2448.25662 |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
NLM266402461 |
---|
LEADER | 01000naa a22002652 4500 | ||
---|---|---|---|
001 | NLM266402461 | ||
003 | DE-627 | ||
005 | 20231224214437.0 | ||
007 | cr uuu---uuuuu | ||
008 | 231224s2016 xx |||||o 00| ||ita c | ||
024 | 7 | |a 10.1714/2448.25662 |2 doi | |
028 | 5 | 2 | |a pubmed24n0888.xml |
035 | |a (DE-627)NLM266402461 | ||
035 | |a (NLM)27869889 | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a ita | ||
100 | 1 | |a Bianca, Innocenzo |e verfasserin |4 aut | |
245 | 1 | 0 | |a ANMCO/SICP/SIGO Consensus document |b Pregnancy and congenital heart disease |
246 | 3 | 3 | |a Documento di consenso ANMCO/SICP/SIGO: Gravidanza e cardiopatie congenite |
264 | 1 | |c 2016 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ƒaComputermedien |b c |2 rdamedia | ||
338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
500 | |a Date Completed 06.04.2017 | ||
500 | |a Date Revised 06.04.2017 | ||
500 | |a published: Print | ||
500 | |a Citation Status MEDLINE | ||
520 | |a The success of cardiac surgery over the past 50 years has increased numbers and median age of survivors with congenital heart disease (CHD). Adults now represent two-thirds of patients with CHD; in the United States alone the number is estimated to exceed 1 million.In this population many affected women reach reproductive age and wish to have children. While in many CHD patients pregnancy can be accomplished successfully, some special situations with complex anatomy, iatrogenic or residual pathology are associated with an increased risk of severe maternal and fetal complications. Pre-conception counseling allows women to come to truly informed choices. Risk stratification tools can also help high-risk women to eventually renounce to pregnancy and to adopt safe contraception options. Once pregnant, women identified as intermediate or high-risk should receive multidisciplinary care involving a cardiologist, an obstetrician and an anesthesiologist with specific expertise in managing this peculiar medical challenge.This document is intended to provide cardiologists working in hospitals where an Obstetrics and Gynecology Department is available with a streamlined and practical tool, useful for them to select the best management strategies to deal with a woman affected by CHD who desires to plan pregnancy or is already pregnant | ||
650 | 4 | |a Consensus Development Conference | |
650 | 4 | |a Journal Article | |
650 | 4 | |a Practice Guideline | |
700 | 1 | |a Geraci, Giovanna |e verfasserin |4 aut | |
700 | 1 | |a Gulizia, Michele Massimo |e verfasserin |4 aut | |
700 | 1 | |a Egidy-Assenza, Gabriele |e verfasserin |4 aut | |
700 | 1 | |a Barone, Chiara |e verfasserin |4 aut | |
700 | 1 | |a Campisi, Marcello |e verfasserin |4 aut | |
700 | 1 | |a Alaimo, Annalisa |e verfasserin |4 aut | |
700 | 1 | |a Adorisio, Rachele |e verfasserin |4 aut | |
700 | 1 | |a Comoglio, Francesca |e verfasserin |4 aut | |
700 | 1 | |a Favilli, Silvia |e verfasserin |4 aut | |
700 | 1 | |a Agnoletti, Gabriella |e verfasserin |4 aut | |
700 | 1 | |a Carmina, Maria Gabriella |e verfasserin |4 aut | |
700 | 1 | |a Chessa, Massimo |e verfasserin |4 aut | |
700 | 1 | |a Sarubbi, Berardo |e verfasserin |4 aut | |
700 | 1 | |a Mongiovì, Maurizio |e verfasserin |4 aut | |
700 | 1 | |a Russo, Maria Giovanna |e verfasserin |4 aut | |
700 | 1 | |a Bianca, Sebastiano |e verfasserin |4 aut | |
700 | 1 | |a Canzone, Giuseppe |e verfasserin |4 aut | |
700 | 1 | |a Bonvicini, Marco |e verfasserin |4 aut | |
700 | 1 | |a Viora, Elsa |e verfasserin |4 aut | |
700 | 1 | |a Poli, Marco |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t Giornale italiano di cardiologia (2006) |d 2006 |g 17(2016), 9 vom: 20. Sept., Seite 687-755 |w (DE-627)NLM16119561X |x 1972-6481 |7 nnns |
773 | 1 | 8 | |g volume:17 |g year:2016 |g number:9 |g day:20 |g month:09 |g pages:687-755 |
856 | 4 | 0 | |u http://dx.doi.org/10.1714/2448.25662 |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_NLM | ||
951 | |a AR | ||
952 | |d 17 |j 2016 |e 9 |b 20 |c 09 |h 687-755 |