Schwangerschaft bei frauen mit angeborenen herzfehlern

Because of advances in medical treatment and surgical management the number of adolescent females with congenital heart disease increased significantly during the last decade. On the other hand, the incidence of rheumatic heart disease, which accounted for the largest number of pregnant women with heart disease in the past, has declined over the years. Pregnancy is associated with a lot of physiological adjustments, such as changes in blood volume, stroke volume and cardiac output and may result in deleterious clinical effects in patients with congenital heart disease. Although a good outcome for these woman can often be expected, congenital heart disease still represents a highrisk pregnancy for both mother and infant. The actual risk depends on the type of realformation and functional impairment of the mother. To accompany these women safely through pregnency, good cooperation between pediatric and adult cardiologists, obstetrician and other physicians is necessary.