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Women’s health and midwifery
Maternal congenital heart disease can have adverse long-term outcomes
  1. Mary Gillespie
  1. School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK
  1. Correspondence to Dr Mary Gillespie, School of Nursing and Midwifery, Queen's University Belfast, Belfast, County Down, UK; M.Gillespie{at}

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Commentary on: Son SL, Hosek LL, Stein MC, et al. Association between pregnancy and long-term cardiac outcomes in individuals with congenital heart disease. Am J Obstet Gynecol 2022; 226(1):124–e1.1

Implications for practice and research

  • This paper can aid evidence-based coproduced care planning in the presence of congenital heart disease (CHD).

  • Further research among more diverse populations in other settings would be beneficial.


A total of 1%–4% of pregnancies are complicated by maternal heart disease, mostly commonly CHD with increasing numbers of women with CHD embarking on parenthood.2 While published data identifies risk stratification related to pregnancy, including risks associated with specific conditions, long-term outcomes are less clear. Pregnancy is a cardiovascular ‘stress test’ potentially signposting to future risk. Knowledge regarding long-term outcomes is an important factor in the provision …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.