Contraception in Women With Congenital Heart Disease
Contraception in Women With Congenital Heart Disease
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DOI：
10.1016/j.amjcard.2010.06.060
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发表时间：
2010-11-01
影响因子：
2.8
通讯作者：
Kaemmerer, Harald
中科院分区：
文献类型：
--
作者：
Vigl, Matthaus;Kaemmerer, Mathias;Kaemmerer, Harald
本研究报告了避孕药具的使用情况、使用的方法，和咨询收到的避孕问题的妇女与先天性心脏病，并提供了一个简短的审查目前的知识，有关的风险，不同的心脏情况遇到这些特定的病人，共536个连续的成年妇女与先天性心脏病（中位年龄29岁）从2个三级保健中心招募，他们进行了临床评估，并完成了关于他们避孕使用的问卷调查。宫内节育器是最常用的方法，尽管使用避孕措施，但几乎每10名妇女中就有1人怀孕。此外，在妊娠相关高风险组中，有很高比例的患者（28%）尽管有性关系，但没有使用避孕措施。在我们的研究中，43%的妇女没有接受过避孕咨询，48%的人没有被他们的治疗医生告知怀孕相关的风险。总之，对患有先天性心脏病的妇女来说，及时和有效的避孕咨询很重要，应加强心脏科医生和妇科医生之间的合作未能向该患者提供充分的计划生育建议组可能会产生危险后果，对母亲和孩子造成不必要的风险（C）2010爱思唯尔公司保留所有权利（Am J Cardiol 2010，106 1317-1321）
The present study reports on contraceptive use, methods used, and counseling received on contraceptive issues for women with congenital heart disease and provides a brief review of current knowledge of the risks in relation to the different cardiac situations encountered with these specific patients A total of 536 consecutive adult women with congenital heart disease (median age 29 years) were recruited from 2 tertiary care centers They underwent a clinical assessment and completed a questionnaire regarding their contraceptive use Oral contraceptives, condoms, and intrauterine devices were the most commonly used methods Pregnancy occurred in almost every tenth woman despite the use of contraception We identified a substantial number of women (20%) who were presently using contraceptive methods that were contraindicated for their specific cardiac condition Additionally, a high proportion of patients (28%), in the group with high pregnancy-associated risks, were not using contraception despite having a sexual relationship In our study, 43% of the women had not been counseled about contraception, and 48% had not been informed of the pregnancy-related risks by their treating physician In conclusion, timely and competent counseling about contraception is important for women with congenital heart disease Collaboration between cardiologists and gynecologists should be strengthened Failure to give adequate family planning advice to this patient group could have hazardous consequences, causing an unnecessary risk to mother and child (C) 2010 Elsevier Inc All rights reserved (Am J Cardiol 2010,106 1317-1321)