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    Contemporary pregnancy outcomes for women with moderate and severe congenital heart disease

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    CHD and pregnancy revision.pdf
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    Author
    Kops, Samantha A
    Strah, Danielle D
    Andrews, Jennifer cc
    Klewer, Scott E
    Seckeler, Michael D
    Affiliation
    Department of Pediatrics, University of Arizona
    Issue Date
    2021-12-09
    Keywords
    adult
    congenital heart disease
    Fontan
    In-hospital outcomes
    pregnancy
    tetralogy of Fallot
    Transposition of the great arteries
    
    Metadata
    Show full item record
    Publisher
    SAGE Publications
    Citation
    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 Medicine
    Rights
    © 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 access
    ISSN
    1753-495X
    EISSN
    1753-4968
    DOI
    10.1177/1753495x211064458
    Version
    Final accepted manuscript
    ae974a485f413a2113503eed53cd6c53
    10.1177/1753495x211064458
    Scopus Count
    Collections
    UA Faculty Publications

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