Eisenmenger Syndrome in Pregnancy

Area of Science:

• Cardiology
• Maternal-Fetal Medicine
• Anesthesiology

Background:

• Eisenmenger syndrome is a rare but severe condition in pregnant women.
• Significant uncertainty exists regarding optimal management and prognosis for both mother and fetus.

Purpose of the Study:

• To discuss current debates surrounding Eisenmenger syndrome management during pregnancy.
• To explore potential resolutions and improve maternal-fetal outcomes.

Main Methods:

• Review of existing literature on Eisenmenger syndrome in pregnancy.
• Analysis of maternal mortality rates and causes associated with Cesarean sections.

Main Results:

• Maternal mortality rates range from 30-50%, potentially reaching 65% with Cesarean section.
• Major causes of death include hypovolemia, thromboembolism, and preeclampsia.
• Epidural analgesia is favored for Cesarean sections to reduce vascular resistance.

Conclusions:

• Pregnancy in women with Eisenmenger syndrome is strongly discouraged due to high mortality risks.
• For women desiring pregnancy, a short, atraumatic delivery under epidural block is preferred.