Management of pulmonary arterial hypertension during pregnancy.
Kaushiga KrishnathasanAndrew ConstantineIsma RafiqAna Barrradas PiresHannah DouglasLaura C PriceKonstantinos DimopoulosPublished in: Expert review of respiratory medicine (2023)
Pregnancy should be avoided in most patients with PAH. Counseling on appropriate contraception should be offered routinely. Education of women with childbearing potential is essential and should start at the time of diagnosis of PAH, or the time of transition from pediatric to adult services in patients developing PAH in childhood. Women wishing to become pregnant should receive individualized risk assessment and optimization of PAH therapies via a dedicated specialist pre-pregnancy counseling service, to minimize risk and improve outcomes. Pregnant PAH patients should receive expert multidisciplinary management in a PH center, including close monitoring and early initiation of therapies.
Keyphrases
- pulmonary arterial hypertension
- end stage renal disease
- healthcare
- risk assessment
- ejection fraction
- peritoneal dialysis
- mental health
- prognostic factors
- pulmonary hypertension
- primary care
- pulmonary artery
- preterm birth
- palliative care
- pregnant women
- pregnancy outcomes
- type diabetes
- childhood cancer
- smoking cessation
- human immunodeficiency virus