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With the advent of modern medical and surgical therapies, women with congenital heart disease (CHD) are living into reproductive age. Several studies have provided guidance regarding CHD and pregnancy, but because the data were largely derived from specialty referrals, the results may not be generalizable. Now, investigators used a population-based approach to determine the incidence of obstetric and cardiovascular complications among women with or without CHD who delivered in California during a 7-year period.
Of 3.6 million birth admissions, 3189 (0.09%) were to women with noncomplex CHD (e.g., tetralogy of Fallot) and 262 (0.007%) to those with complex CHD (e.g., ventricular septal defect). Women with CHD — complex CHD in particular — had…