Transition in cardiology 2: Maternal and fetal congenital heart disease
Transition in cardiology 2: Maternal and fetal congenital heart disease
复制标题
心脏病学的转变2：母婴先天性心脏病
DOI：
10.1111/ped.15098
复制
发表时间：
2022
影响因子：
1.4
通讯作者：
Ohga Shouichi
中科院分区：
文献类型：
--
作者：
Nagata Hazumu;Yamamura Kenichiro;Matsuoka Ryohei;Kato Kiyoko;Ohga Shouichi
达到生育年龄的先天性心脏病妇女人数一直在增加。许多患有CHD的女性渴望怀孕，但她们面临着关于孕前、产前和产后管理的问题。另一方面，随着胎儿超声心动图技术和设备的进步，胎儿CHD的诊断有所提高。最近，胎儿干预的经验已报告在严重冠心病患者，如严重的主动脉瓣狭窄。然而，某些类型的CHD在产前诊断很困难，会导致不良后果。医疗护理是围产期患有冠心病的妇女和胎儿过渡期护理的一部分。孕前和产前咨询在过渡期护理中发挥着重要作用。应尽早开展性教育和生殖教育。本文就母儿先心病的现状、有待解决的重要问题以及未来的发展趋势作一综述。
The number of women with congenital heart disease (CHD) reaching reproductive age has been increasing. Many women with CHDs are desirous of pregnancy, but they face issues regarding preconception, antepartum, and postpartum management. On the other hand, the fetal diagnosis of CHD has improved with advances in the technique and equipment for fetal echocardiography. Recently, experiences with fetal intervention have been reported in patients with severe CHD, such as critical aortic stenosis. Nevertheless, some types of CHD are challenge to diagnose prenatally, resulting in adverse outcomes. Medical care is part of the transitional care for women and fetuses with CHD during the perinatal period. Pre‐conceptional and prenatal counseling play an important role in transitional care. Sex and reproductive education need to be performed as early as possible. We herein review the current status, important issues to be resolved, and the future of maternal and fetal CHD to relevant caregivers.