The management of the fetusFetus with congenital heart diseaseCongenital heart disease is challenging and requires multidisciplinary careMultidisciplinary care involving fetal medicineFetal medicine, obstetricObstetrics, midwifery and neonatology input, in addition to the clinical care provided by paediatric and fetalFetal cardiology services. Depending on the clinical need or the presence of other abnormalities, and parental wishes, there may be involvement of other paediatric sub-specialties. Clear communicationCommunication, robust care pathways, and good multi-disciplinary team working are the mainstays to optimise maternal and fetalFetal outcomes. Clear principles of shared care between referring and tertiary units are vital for continuity of care. This chapter discusses the principles of management for pregnant women following the diagnosisDiagnosis of congenital heart diseaseCongenital heart disease and discusses challenges that may be encountered in the delivery of care.

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Fetal Medicine and Obstetric Management of the Fetus with Congenital Heart Disease

  • Surabhi Nanda,
  • Owen Miller

摘要

The management of the fetusFetus with congenital heart diseaseCongenital heart disease is challenging and requires multidisciplinary careMultidisciplinary care involving fetal medicineFetal medicine, obstetricObstetrics, midwifery and neonatology input, in addition to the clinical care provided by paediatric and fetalFetal cardiology services. Depending on the clinical need or the presence of other abnormalities, and parental wishes, there may be involvement of other paediatric sub-specialties. Clear communicationCommunication, robust care pathways, and good multi-disciplinary team working are the mainstays to optimise maternal and fetalFetal outcomes. Clear principles of shared care between referring and tertiary units are vital for continuity of care. This chapter discusses the principles of management for pregnant women following the diagnosisDiagnosis of congenital heart diseaseCongenital heart disease and discusses challenges that may be encountered in the delivery of care.