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Pulmonary hypertension in pregnancy 

Pulmonary hypertension in pregnancy
Pulmonary hypertension in pregnancy

Ruth Curry

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date: 01 December 2021

Pregnant women with pulmonary hypertension have a high risk of maternal and fetal morbidity and mortality. This case describes a pregnancy in a woman with a previously undiagnosed atrioventricular septal defect, a common atrioventricular valve and pulmonary hypertension. Benefitting from expert commentary from both a specialist obstetrician and a cardiologist, it highlights how the cardiovascular changes associated with pregnancy impact on pre-existing cardiac disease, as well as illustrating how best to clinically assess and manage women such as these in antenatal clinics using a multidisciplinary team. Despite an encouraging trend towards improved outcomes, the importance of contraceptive advice and pre-pregnancy counselling regarding risk is emphasized.

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