Journal Title
Title of Journal: Curr Treat Options Cardio Med
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Abbravation: Current Treatment Options in Cardiovascular Medicine
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Publisher
Current Science Inc.
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Authors: Reema Chugh
Publish Date: 2008/03/18
Volume: 9, Issue: 5, Pages: 414-427
Abstract
Medical advancements have made it possible for more women with congenital heart defects CHDs to carry successful pregnancies Most CHD surgeries or interventions are palliative with persistent residua and sequelae exacerbated by the physiologic stresses of pregnancy Preconception assessment a tailored multidisciplinary approach during pregnancy and a planned elective delivery followed by careful postpartum monitoring may improve outcomes Teratogenic medications should be stopped and changed to safer alternatives Major hemodynamic changes in pregnancy labor and delivery may aggravate the underlying cardiovascular defects Interventions or surgeries when anticipated should be performed before pregnancy Antibiotic prophylaxis is indicated for nearly all palliated and unpalliated defects
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