Table 4
Issues to be addressed before or during pregnancy
• Severity of underlying disease
• Complications expected during: pregnancy; peripartum; postpartum
• Risk of endocarditis
• Risk of maternal death
• Care for child if mother dies
• Risks to fetus: size, growth, abnormalities, death
• Fetal heart scan
• Genetic counselling
• Teratogenic drugs
• Place of delivery and obstetric care
• Method of delivery
• Need for hospital treatment during pregnancy
• State of health after delivery
• Number of pregnancies—limitation
• Sterilisation after delivery
• Cardiac care puerperium and early after pregnancy