Abstract:

There are an increasing number of women with CHD seeking to bear children，and once pregnant，the risk of heart and maternal and fetal complications increases，and heart function is furhter damaged.The risk depends on the type of congenital heart disease，degree of hemodynamic impairment，and potential complications.Strengthening the comprehensive management of such patients，conducting careful individual and multidisciplinary risk assessment，and formulating detailed plans for follow-up during pregnancy，delivery and postpartum treatment can reduce the risk and improve perinatal outcomes，which has important significance for reducing maternal mortality.

Key words: pregnancy, congenital heart disease（CHD）, assessment, comprehensive management

摘要：

医学进步使得更多先天性心脏病妇女可以生存至生育期年龄。妊娠后母体和胎儿并发症风险都会增加，心脏功能也会进一步损害。风险取决于先天性心脏病类型、血流动力学受损程度及并发症情况。加强对此类患者的综合管理，进行仔细的个体化、多学科的风险评估，制定详细的妊娠期随访、分娩和产后治疗计划可降低风险，改善围产结局，对降低孕产妇病死率具有重要的意义。

关键词: 妊娠, 先天性心脏病, 评估, 综合管理