Table 4 Pregnancy outcomes in women with a Fontan circulation
All pregnancy outcomes - 55 patients, n (%) | |
Live births | 13 (24) |
Spontaneous miscarriage | 38 (69)* |
Termination | 3 (5) |
Ectopic pregnancy | 1 (2) |
Live birth outcomes (n=13) | |
Median gestational age of live birth (weeks) | 32 (30–34)a |
Mode of delivery, n (%) | |
Vaginal delivery | 1 (8) |
Emergency CS | 3 (23) |
Semi-elective CS | 9 (69)b |
Indication for delivery, n (%) | |
Maternal CVS | 5 (38) |
Maternal obstetric | 4 (31) |
Fetal | 4 (31) |
Total all-cause prolonged hospitalisation, n (%) | 5 (38) |
Cardiac | 4 (31) |
Obstetric | 1 (8) |
Maternal CVS complications, n (%) | |
Significant deterioration in symptoms | 8 (62) |
Heart failure/low cardiac output state | 2 (15) |
Arrhythmias | 2 (15) |
Maternal obstetric complications, n (%) | |
Ante-partum haemorrhage | 3 (23) |
Post-partum haemorrhage | 2(15) |
Retro-placental haematoma | 1 (8) |
Pre-eclampsia | 0 (0) |
Pregnancy-induced hypertension | 0 (0) |
Fetal/neonatal complications, n (%) | |
Birth weight (g) | 1480 (1225–1815)a |
Fetal distress | 3 (23) |
No. of premature deliveries | 12 (92) |
Prematurity 33–36 weeks | 4 (31) |
Prematurity 28–32 weeks | 7 (53) |
Prematurity < 28 weeks | 1 (8) |
SGA | 3 (23) |
Congenital heart disease | 2 (15) |
Developmental delay | 2 (15) |