23
3.8. Reproductive Health, Pregnancy, and Contraception
(cont'd)
COR LOE
Recommendations
2a C-LD
1. In patients with ACHD who are of childbearing age,
referral to a genetic counselor for preconception planning
is reasonable to facilitate understanding of the risks for
congenital heart disease in their offspring.
2a C-EO
2. For patients with ACHD who are considering assisted
reproductive technolog y, discussions involving an ACHD
cardiologist can be beneficial to increase patients' knowledge
about their options and the associated risks.
3: No
Benefit
C-LD
10. Routine cesarean delivery has no benefit and may cause
harm in pregnant patients with ACHD in the absence of an
obstetric indication or high-risk cardiac condition.
3:
Harm
B-NR
11. In patients with ACHD who are at high risk for
thromboembolic events, contraceptive agents that contain
estrogen are potentially harmful.
