Consensus Document of the Italian Association of Hospital Cardiologists (ANMCO), Italian Society of Pediatric Cardiology (SICP), and Italian Society of Gynaecologists and Obstetrics (SIGO)

pregnancy and congenital heart diseases

Innocenzo Bianca, Giovanna Geraci, Michele Massimo Gulizia, Gabriele Egidy Assenza, Chiara Barone, Marcello Campisi, Annalisa Alaimo, Rachele Adorisio, Francesca Comoglio, Silvia Favilli, Gabriella Agnoletti, Maria Gabriella Carmina, Massimo Chessa, Berardo Sarubbi, Maurizio Mongiovì, Maria Giovanna Russo, Sebastiano Bianca, Giuseppe Canzone, Marco Bonvicini, Elsa Viora & 1 others Marco Poli

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

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 USA 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 counselling 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.

Original languageEnglish
Pages (from-to)D256-D292
JournalEuropean Heart Journal, Supplement
Volume19
Issue numberSuppl D
DOIs
Publication statusPublished - May 2017

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Cardiology
Obstetrics
Heart Diseases
Consensus
Pediatrics
Pregnancy
Hospital Obstetrics and Gynecology Department
Contraception
Thoracic Surgery
Survivors
Counseling
Pregnant Women
Anatomy
Mothers
Pathology
Cardiologists
Population

Cite this

Consensus Document of the Italian Association of Hospital Cardiologists (ANMCO), Italian Society of Pediatric Cardiology (SICP), and Italian Society of Gynaecologists and Obstetrics (SIGO) : pregnancy and congenital heart diseases. / Bianca, Innocenzo; Geraci, Giovanna; Gulizia, Michele Massimo; Egidy Assenza, Gabriele; Barone, Chiara; Campisi, Marcello; Alaimo, Annalisa; Adorisio, Rachele; Comoglio, Francesca; Favilli, Silvia; Agnoletti, Gabriella; Carmina, Maria Gabriella; Chessa, Massimo; Sarubbi, Berardo; Mongiovì, Maurizio; Russo, Maria Giovanna; Bianca, Sebastiano; Canzone, Giuseppe; Bonvicini, Marco; Viora, Elsa; Poli, Marco.

In: European Heart Journal, Supplement, Vol. 19, No. Suppl D, 05.2017, p. D256-D292.

Research output: Contribution to journalArticle

Bianca, I, Geraci, G, Gulizia, MM, Egidy Assenza, G, Barone, C, Campisi, M, Alaimo, A, Adorisio, R, Comoglio, F, Favilli, S, Agnoletti, G, Carmina, MG, Chessa, M, Sarubbi, B, Mongiovì, M, Russo, MG, Bianca, S, Canzone, G, Bonvicini, M, Viora, E & Poli, M 2017, 'Consensus Document of the Italian Association of Hospital Cardiologists (ANMCO), Italian Society of Pediatric Cardiology (SICP), and Italian Society of Gynaecologists and Obstetrics (SIGO): pregnancy and congenital heart diseases', European Heart Journal, Supplement, vol. 19, no. Suppl D, pp. D256-D292. https://doi.org/10.1093/eurheartj/sux032
Bianca, Innocenzo ; Geraci, Giovanna ; Gulizia, Michele Massimo ; Egidy Assenza, Gabriele ; Barone, Chiara ; Campisi, Marcello ; Alaimo, Annalisa ; Adorisio, Rachele ; Comoglio, Francesca ; Favilli, Silvia ; Agnoletti, Gabriella ; Carmina, Maria Gabriella ; Chessa, Massimo ; Sarubbi, Berardo ; Mongiovì, Maurizio ; Russo, Maria Giovanna ; Bianca, Sebastiano ; Canzone, Giuseppe ; Bonvicini, Marco ; Viora, Elsa ; Poli, Marco. / Consensus Document of the Italian Association of Hospital Cardiologists (ANMCO), Italian Society of Pediatric Cardiology (SICP), and Italian Society of Gynaecologists and Obstetrics (SIGO) : pregnancy and congenital heart diseases. In: European Heart Journal, Supplement. 2017 ; Vol. 19, No. Suppl D. pp. D256-D292.
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