What is CARPREG?
The multicenter CARPREG (Cardiac Disease in Pregnancy Study) was the first to develop a risk index to predict the likelihood of maternal cardiac complications from general maternal clinical and echocardiographic data obtained during the baseline antepartum visit 6, 7.
What is CHD in pregnancy?
Most women with congenital heart disease (CHD) can have a successful pregnancy, but it requires careful planning and discussion with your adult CHD healthcare team. Pregnancy has its risks – even in healthy women – but there may be greater risk for women with CHD and their baby.
Who contraindicated in pregnancy?
Contraindications to Pregnancy
- Severe pulmonary arterial hypertension which is associated with a 30% to 50% risk of maternal mortality.
- Severe fixed obstructive lesions such as aortic stenosis, mitral stenosis, pulmonic stenosis, hypertrophic obstructive cardiomyopathy, coarctation of the aorta.
How are congenital heart defects diagnosed?
To diagnose congenital heart disease, your doctor will do a physical exam and listen to your heart with a stethoscope….Tests to diagnose or rule out congenital heart disease include:
- Electrocardiogram (ECG).
- Chest X-ray.
- Pulse oximetry.
- Transesophageal echocardiogram.
- Cardiac CT scan and MRI .
Can CHD be detected before birth?
Congenital heart disease may initially be suspected during a routine ultrasound scan of the baby in the womb. Specialist ultrasound, called foetal echocardiography, will then be carried out at around 18 to 22 weeks of the pregnancy to try to confirm the exact diagnosis.
Which cardiac lesion is a contraindication for pregnancy?
Contraindications to pregnancy generally consist of 4 states7: Marfan syndrome with dilated aortic root (>4 cm), pulmonary hypertension (pulmonary vascular resistance, >6 Wood units), moderate-to-severe left ventricular outflow tract obstruction (≥30 mmHg), and LVEF < 0.30 (Table II).
Which drug is contraindicated during pregnancy due to its teratogenicity?
Teratogenic drugs and birth defects isotretinoin (an acne drug) alcohol. cocaine. high doses of vitamin A.
When are most congenital heart defects diagnosed?
A congenital heart defect (CHD) is often diagnosed in infancy, or even before birth. But some defects are harder to detect than others and may not be diagnosed until much later in childhood or even adulthood.
When is CHD diagnosed?