Frequency of Miscarriage/Stillbirth and Terminations of Pregnancy Among Women With Congenital Heart Disease in Germany, Hungary and Japan

BACKGROUND: The 2011 guidelines of the European Society of Cardiology (ESC) on the management of cardiovascular diseases during pregnancy define the maternal predictors for neonatal complications. The aim of this study was to determine whether these are associated with an increased number of miscarr...

Teljes leírás

Elmentve itt :
Bibliográfiai részletek
Szerzők: Koerten Marc-André
Niwa Koichiro
Szatmári András
Hajnalka Bálint
Ruzsa Zoltán
Nagdyman Nicole
Niggemeyer Eva
Peters Brigitte
Schneider Karl-Theodor M.
Kuschel Bettina
Mizuno Yoshiko
Berger Felix
Kaemmerer Harald
Bauer Ulrike M. M.
Dokumentumtípus: Cikk
Megjelent: 2016
Sorozat:CIRCULATION JOURNAL: OFFICIAL JOURNAL OF THE JAPANESE CIRCULATION SOCIETY 80 No. 8
Tárgyszavak:
doi:10.1253/circj.CJ-15-1296

mtmt:3089651
Online Access:http://publicatio.bibl.u-szeged.hu/24151
LEADER 02821nab a2200373 i 4500
001 publ24151
005 20220420092606.0
008 220420s2016 hu o 0|| Angol d
022 |a 1346-9843 
024 7 |a 10.1253/circj.CJ-15-1296  |2 doi 
024 7 |a 3089651  |2 mtmt 
040 |a SZTE Publicatio Repozitórium  |b hun 
041 |a Angol 
100 1 |a Koerten Marc-André 
245 1 0 |a Frequency of Miscarriage/Stillbirth and Terminations of Pregnancy Among Women With Congenital Heart Disease in Germany, Hungary and Japan  |h [elektronikus dokumentum] /  |c  Koerten Marc-André 
260 |c 2016 
300 |a 1846-1851 
490 0 |a CIRCULATION JOURNAL: OFFICIAL JOURNAL OF THE JAPANESE CIRCULATION SOCIETY  |v 80 No. 8 
520 3 |a BACKGROUND: The 2011 guidelines of the European Society of Cardiology (ESC) on the management of cardiovascular diseases during pregnancy define the maternal predictors for neonatal complications. The aim of this study was to determine whether these are associated with an increased number of miscarriages/stillbirths and terminations of pregnancy (TOPs) also in patients with congenital heart defects (CHD).Methods and Results:The 634 women from Germany, Hungary and Japan were surveyed concerning the issues of sexuality and reproductive health, as well as their general life situation and medical care. 25% of the recorded pregnancies in women with CHD resulted in miscarriage, stillbirth or TOP. Affecting 16.8% of all recorded pregnancies, miscarriages or stillbirths occurred more frequently than in the general population and more than previously recorded for patients with CHD. TOP occurred in 8% of the surveyed pregnancies. Underlying maternal predictors for neonatal events had an influence on the number of TOP; among those with underlying predictors, TOP was recorded 3-fold more than in those without such predictors (15.6% vs. 5.5%). Remarkably, a significant deficit regarding the level of information on potential pregnancy-associated risks was observed in all 3 participating countries. CONCLUSIONS: Pregnant women with CHD should always be treated and counseled individually by cardiologists, gynecologists, obstetricians and anesthetists with appropriate expert knowledge. 
650 4 |a Klinikai orvostan 
700 0 1 |a Niwa Koichiro  |e aut 
700 0 1 |a Szatmári András  |e aut 
700 0 1 |a Hajnalka Bálint  |e aut 
700 0 1 |a Ruzsa Zoltán  |e aut 
700 0 1 |a Nagdyman Nicole  |e aut 
700 0 1 |a Niggemeyer Eva  |e aut 
700 0 1 |a Peters Brigitte  |e aut 
700 0 1 |a Schneider Karl-Theodor M.  |e aut 
700 0 1 |a Kuschel Bettina  |e aut 
700 0 1 |a Mizuno Yoshiko  |e aut 
700 0 1 |a Berger Felix  |e aut 
700 0 1 |a Kaemmerer Harald  |e aut 
700 0 1 |a Bauer Ulrike M. M.  |e aut 
856 4 0 |u http://publicatio.bibl.u-szeged.hu/24151/1/Koerten2.pdf  |z Dokumentum-elérés