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Symptoms during pregnancy in primiparous women with congenital heart disease.

Bay, Annika, 1970- (author)
Umeå University,Umeå universitet,Institutionen för omvårdnad,Department of Nursing, Umeå University, Umeå (SWE),Umeå Univ, Dept Nursing, Umeå, Sweden.
Berghammer, Malin, 1970- (author)
University College West,Högskolan Väst,Avdelningen för omvårdnad - avancerad nivå,LOVHH,Institute of Health Sciences, University West and Queen Silvia Children Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden,Univ West, Inst Hlth Sci, Gothenburg, Sweden.;Sahlgrens Univ Hosp, Queen Silvia Children Hosp, Gothenburg, Sweden.
Burström, Åsa (author)
Karolinska Institutet,Karolinska Institute,Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden.
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Holstad, Ylva (author)
Umeå University,Umeå universitet,Institutionen för omvårdnad,Department of Nursing, Umeå University, Umeå (SWE),Umeå Univ, Dept Nursing, Umeå, Sweden.
Christersson, Christina (author)
Uppsala universitet,Uppsala University,Uppsala Univ, Sweden,Kardiologi
Dellborg, Mikael (author)
Department of Molecular and Clinical Medicine, Sahlgrenska University Hospital, Gothenburg (SWE),Department of Molecular and Clinical Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden,Sahlgrens Univ Hosp, Dept Mol & Clin Med, Gothenburg, Sweden.
Trzebiatowska-Krzynska, Aleksandra (author)
Linköpings universitet,Linköping University,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US,Linköping Univ, Dept Cardiol, Linköping, Sweden.;Linköping Univ, Dept Med & Hlth Sci, Linköping, Sweden.
Sörensson, Peder (author)
Karolinska Institutet,Karolinska Institute,Karolinska Inst, Dept Med, Stockholm, Sweden.
Thilén, Ulf (author)
Lund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund Univ, Dept Clin Sci, Cardiol, Lund, Sweden.
Johansson, Bengt (author)
Umeå University,Umeå universitet,Institutionen för kirurgisk och perioperativ vetenskap,Department of Surgical and Perioperative Sciences, Umeå University, Umeå (SWE),Umeå Univ, Dept Surg & Perioperat Sci, Umeå, Sweden.
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 (creator_code:org_t)
Taylor & Francis, 2024
2024
English.
In: Scandinavian Cardiovascular Journal. - : Taylor & Francis. - 1401-7431 .- 1651-2006. ; 58:1
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Background: As more women with congenital heart disease (CHD) are reaching childbearing age, it becomes more common for their symptoms to be evaluated during pregnancy. However, pregnancy-related symptoms are similar to those caused by heart disease. This study investigated the prevalence of factors associated with symptoms during pregnancy in women with CHD.Methods: The national birth register was searched for primiparous women with CHD who were registered in the national quality register for patients with CHD.Results: Symptoms during the third trimester were reported in 104 of 465 evaluated women. The most common symptom was palpitations followed by dyspnea. Factors associated with symptoms were tested in a univariable model; higher NYHA classification (>1) (OR 11.3, 95%CI 5.5-23.2), low physical activity (≤3 h/week) (OR 2.1 95%CI 1.3-3.6) and educational level ≤ 12 years (OR 1.9 95%CI 1.2-3.0) were associated with having symptoms. In multivariable analysis, low physical activity level (OR 2.4 95%CI 1.2-5.0) and higher NYHA class (OR 11.3 95%CI 5.0-25.6) remained associated with symptoms during pregnancy. There were no cases with new onset of impaired systemic ventricular function during pregnancy.Conclusion: Symptoms during pregnancy are common in women with CHD but are often already present before pregnancy. Because ordinary symptoms during pregnancy often overlap with symptoms of heart disease, it is important to know if symptoms were present before pregnancy and if they became worse during pregnancy. These results should be included in pre-pregnancy counselling and considered in the monitoring during pregnancy.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Allmänmedicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- General Practice (hsv//eng)

Keyword

Congenital heart disease
pregnancy
pregnancy symptoms
reproductive health
Vårdvetenskap
Nursing science
Congenital heart disease
pregnancy
pregnancy symptoms
reproductive health

Publication and Content Type

ref (subject category)
art (subject category)

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