Abstract:
BACKGROUND:Women with cardiac disease and their infants are at a greater risk of mortality and morbidity during pregnancy. Expert groups recommend preconception counseling (PCC) for all women with cardiac disease so they are made aware of these risks. We have run a specialist maternal cardiac clinic since 1996. The aim of this study was to evaluate the experience of women who have received PCC within an established multidisciplinary tertiary clinic and to establish their views regarding the counseling they received. METHODS:Single centre prospective study using a patient questionnaire was given to women attending a specialist cardiac preconception counseling clinic from November 2015 to August 2016, with analysis of descriptive data and free text comments from the questionnaire responders. RESULTS:40/65 returned patient questionnaires. Prior to the consultation fewer than half felt well informed regarding how their heart disease could impact upon pregnancy but a similar proportion felt nonetheless that they would be able to have a healthy pregnancy. Women reported two main areas of concerns, their own health (whether they would survive a pregnancy) and the health of their child. 15% of women reported that these concerns had prevented them from pursuing a pregnancy. Women reported high satisfaction rates with the clinic. CONCLUSIONS:There is an increasing demand for PCC services for women with cardiac disease; our study is the first attempt to determine both the acceptability and the impact of PCC from the patient perspective. Patients reported a high level of satisfaction with the service provided.
journal_name
Int J Cardioljournal_title
International journal of cardiologyauthors
Cauldwell M,Steer PJ,Swan L,Patel RR,Gatzoulis MA,Uebing A,Johnson MRdoi
10.1016/j.ijcard.2017.03.092subject
Has Abstractpub_date
2017-08-01 00:00:00pages
374-378eissn
0167-5273issn
1874-1754pii
S0167-5273(16)34302-9journal_volume
240pub_type
杂志文章abstract::The development of an arteriovenous fistula (AVF) is a rare complication of cardiac catheterization. We report a rare case with a femoral AVF following cardiac catheterization, originating from the right deep femoral artery and eventually draining into the right superficial femoral vein through the subcutaneous vein. ...
journal_title:International journal of cardiology
pub_type: 信件
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更新日期:2007-06-25 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章,多中心研究
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journal_title:International journal of cardiology
pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:International journal of cardiology
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journal_title:International journal of cardiology
pub_type: 杂志文章
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journal_title:International journal of cardiology
pub_type: 杂志文章,评审
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pub_type: 杂志文章,随机对照试验
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更新日期:2013-09-20 00:00:00
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pub_type: 杂志文章
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journal_title:International journal of cardiology
pub_type: 杂志文章,meta分析,评审
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pub_type: 杂志文章
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pub_type: 杂志文章,多中心研究
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journal_title:International journal of cardiology
pub_type: 杂志文章
doi:10.1016/j.ijcard.2012.01.032
更新日期:2013-07-31 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 杂志文章
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pub_type: 杂志文章
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pub_type: 杂志文章,meta分析,评审
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pub_type: 杂志文章,meta分析
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journal_title:International journal of cardiology
pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:1995-02-01 00:00:00
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