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Pregnancy in heart disease
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  • Published on:
    Maternal outcome of pregnancy following Mustard procedure
    • David S Crossland, Specialist Registrar Paediatric Cardiology
    • Other Contributors:
      • Catherine Hiley, John J. O'Sullivan, Milind P. Chaudhari

    Dear Editor

    We were interested to read Dr Thorne’s article on pregnancy in heart disease and have been developing our service locally for pregnancy in congenital heart disease.[1] We have been particularly concerned with the counselling and management of women following Mustard procedure as many of this unique group are now of child bearing age and there is little data as to their pregnancy outcome.[2]


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    Conflict of Interest:
    None declared.
  • Published on:
    Re Pregnancy in heart disease, author's response

    Dear Editor

    Steve Yentis raises relevant discussion points.[1] A detailed discussion of anaesthetic methods was beyond the scope of the article and Steve's comments regarding the safety of low-dose epidural are welcome.

    I agree that assisted vaginal delivery is the safest mode of delivery for most women with heart disease. His comments about instrumental vaginal delivery for women with Marfan syndrome underl...

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    Conflict of Interest:
    None declared.
  • Published on:
    Re: Pregnancy in heart disease

    Dear Editor

    Sara Thorne give a comprehensive account of heart disease in pregnancy [1] which, as she says, represents an increasing challenge to high-risk obstetric teams. I wish to raise three points.

    First, in most cases the "good analgesia" in labour mentioned by Dr Thorne should be provided (anticoagulation allowing) by epidural analgesia using modern low-dose solutions of local anaesthetic/opioid,...

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    Conflict of Interest:
    None declared.