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Pregnancy outcome and Ebstein's anomaly
J E Donnelly1, J M Brown, D J Radford
1Mater Misericordiae Public Hospitals, South Brisbane, Queensland, Australia.
British Heart Journal
|November 1, 1991
Summary
Pregnancy in women with Ebstein's anomaly is generally well-tolerated with good fetal outcomes. However, maternal cyanosis or arrhythmia necessitates closer monitoring for both mother and baby.
Area of Science:
- Cardiology
- Reproductive Medicine
- Congenital Heart Disease
Background:
- Ebstein's anomaly is a rare congenital heart defect.
- Limited data exists on pregnancy outcomes for adult women with this condition.
- Understanding maternal and fetal risks is crucial for management.
Purpose of the Study:
- To evaluate pregnancy outcomes in women with Ebstein's anomaly.
- To identify potential maternal complications and fetal risks.
- To provide guidance for managing these pregnancies.
Main Methods:
- Studied 42 pregnancies in 12 women with Ebstein's anomaly.
- Assessed maternal cardiac status via symptoms, cyanosis, arrhythmia, and echocardiography.
- Monitored neonatal outcomes, including prematurity and dysmaturity.
Main Results:
- Pregnancy was well-tolerated in the absence of significant maternal cyanosis or arrhythmia.
- Neonatal outcomes were generally good.
- Increased risk of prematurity and dysmaturity observed in infants of mothers with cyanosis.
Conclusions:
- Women with Ebstein's anomaly can be counseled that pregnancy is likely safe with good fetal outcomes.
- Maternal arrhythmia or cyanosis are indicators for heightened surveillance.
- Appropriate advice and management can be provided to these patients.