Medical Archive

C8 Preconceptional Care

Introduction

Counseling session

Medical history

Cardiovascular contraindications to pregnancy

  • Highest risk conditions – pregnancy contraindicated unless condition is corrected
    • Symptomatic mitral stenosis ? valve reapir prior to pregnancy
    • Symptomatic aortic stenosis
    • Symptomatic heart failure with LVEF <30%
    • Pulmonary arterial hypertension
    • Bicuspid AV with ascending aorta enlargement >50mm

Genetic diseases

Reproductive history

Parental age

Maternal age

Paternal age

Social history

Recreational drugs and smoking

Environmental exposures

Diet

Exercise

Intimate partner violence

Screening tests

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