Abstract:

The survival rate of adult patients with congenital heart disease（CHD）has increased during the last few decades as a result of significant improvement in diagnosis and treatment.Women with CHD are therefore more likely to live to childbearing age，and to decide to have children.Compared with the general parturients，maternal risk and neonatal complications such as prematurity，intra-uterine fetal growth restriction，fetal demise，or neonatal mortality，are increased in pregnant women with CHD.How can we minimize the maternal mortality and morbidity risk and improve perinatal outcome?We retrospectively reviewed articles and documents about pregnancy with congenital heart disease，and tried to discuss it in this article.

Key words: congenital heart disease, perinatal outcome, pregnancy

摘要：

过去几十年，随着诊断和治疗手段的发展，先天性心脏病（先心病）患者生存率显著提高。越来越多先心病女性患者可以存活到生育年龄，并考虑生育问题。与普通孕妇相比，先心病患者妊娠其母体风险和新生儿并发症，如早产、胎儿生长受限、胎儿死亡或新生儿死亡率增加。如何降低孕产妇病死率和改善围产结局?文章回顾妊娠合并先天性心脏病的相关文献，对围产期管理进行阐述。

关键词: 先天性心脏病, 围产结局, 妊娠