Contemporary pregnancy outcomes for women with moderate and severe congenital heart disease
Affiliation
Department of Pediatrics, University of ArizonaIssue Date
2021-12-09Keywords
adultcongenital heart disease
Fontan
In-hospital outcomes
pregnancy
tetralogy of Fallot
Transposition of the great arteries
Metadata
Show full item recordPublisher
SAGE PublicationsCitation
Kops, S. A., Strah, D. D., Andrews, J., Klewer, S. E., & Seckeler, M. D. (2021). Contemporary pregnancy outcomes for women with moderate and severe congenital heart disease. Obstetric Medicine.Journal
Obstetric MedicineRights
© The Author(s) 2021.Collection Information
This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.Abstract
Background: Women with congenital heart disease (CHD) are surviving into adulthood, with more undergoing pregnancy. Methods: Retrospective review of the Vizient database from 2017–2019 for women 15–44 years old with moderate, severe or no CHD and vaginal delivery or caesarean section. Demographics, hospital outcomes and costs were compared. Results: There were 2,469,117 admissions: 2,467,589 with no CHD, 1277 with moderate and 251 with severe CHD. Both CHD groups were younger than no CHD, there were fewer white race/ethnicity in the no CHD group and more women with Medicare in both CHD groups compared to no CHD. With increasing CHD severity there was an increase in length of stay, ICU admission rates and costs. There were also higher rates of complications, mortality and caesarean section in the CHD groups. Conclusion: Pregnant women with CHD have more problematic pregnancies and understanding this impact is important to improve management and decrease healthcare utilization.Note
Immediate accessISSN
1753-495XEISSN
1753-4968Version
Final accepted manuscriptae974a485f413a2113503eed53cd6c53
10.1177/1753495x211064458