Can a ventricular septal defect have a vaginal delivery?

Written by Li Hai Wen

Cardiology

Updated on September 01, 2024

00:00

00:00

Atrial septal defect is a relatively common congenital heart disease in adults. Therefore, when women are diagnosed with this condition, they often ask their doctor one question: "Can I give birth naturally?" This question requires a case-by-case analysis. If the atrial septal defect is not severe, does not cause changes in the heart structure, or lead to heart failure, then natural childbirth is definitely possible. However, if the atrial septal defect is severe and causes changes in heart structure, such as pulmonary hypertension or heart failure, then natural childbirth is generally not advisable. It is best to opt for a cesarean section under the guidance of a doctor to alleviate the burden on the pregnant woman and reduce the occurrence of serious incidents.

Other Voices

home-news-image

Written by Li Hai Wen

Cardiology

29sec

home-news-image

Causes of infant room septal defect

Atrial septal defect is a relatively common congenital heart disease in infants and young children. The causes of atrial septal defects are not very clear, but modern medicine considers that it may be related to the mother having a cold during pregnancy or taking certain medications, or to certain physical and chemical factors during pregnancy. Generally, atrial septal defects are not inherited and are not largely related to genetics.

home-news-image

Written by Li Hai Wen

Cardiology

1min 11sec

home-news-image

Postoperative complications of atrial septal defect intervention surgery

Atrial septal defect is a relatively common congenital heart disease in clinical practice. Minimally invasive interventional treatment can effectively address atrial septal defects and generally leaves no surgical scars. The complications of atrial septal defects can be analyzed from the following aspects: First, puncture complications. Atrial septal defects require the puncture of the femoral vein. A small number of patients may experience complications such as arteriovenous fistula, pseudoaneurysm, or hematoma at the puncture site. Generally, these complications are not serious and do not endanger the patient's life. Second, complications from dislodged occlusion devices. If the occlusion device becomes dislodged, it can lead to serious complications, including obstruction of the relevant blood vessels. Third, hemolytic reactions. A small number of patients may develop hemolytic reactions to the occlusion device. Such complications are also quite serious; however, they are very rare in clinical practice and do not require excessive concern.

home-news-image

Written by Tang Li

Cardiology

56sec

home-news-image

Imaging manifestations of atrial septal defect

The imaging characteristics of ventricular septal defects are as follows: 1. Small defects: Normal cardiac silhouette, or left ventricular hypertrophy, with mild pulmonary congestion. 2. Medium defects: Left ventricular hypertrophy or biventricular hypertrophy, enlarged pulmonary artery segment, smaller aortic knob. 3. Large defects: Both ventricles enlarged, left atrium enlarged, prominent pulmonary artery segment, significant pulmonary congestion. When pulmonary hypertension with right-to-left shunting occurs, the pulmonary artery segment is markedly prominent, but the lung fields are clear, and the heart shadow is smaller than before.

home-news-image

Written by Tang Li

Cardiology

1min 38sec

home-news-image

Can someone with an atrial septal defect get pregnant?

Whether patients with atrial septal defects can become pregnant depends on the following factors: 1. Whether the patient normally has symptoms. 2. Whether the echocardiography indicates heart enlargement or pulmonary hypertension. 3. The size of the atrial septal defect. 4. Whether there is a combination of arrhythmias such as atrial flutter or atrial fibrillation, and complications such as pulmonary hypertension or heart failure. For those without symptoms, and where the defect does not cause pulmonary hypertension or right heart enlargement, choosing to become pregnant is possible. Complications are not common in pregnant women with isolated atrial septal defects without pulmonary hypertension. Studies have shown that the incidence of complications in pregnant women, whether the defect is repaired or not, is relatively low. If the patient has related arrhythmias and complications, it should be closely monitored, because the cardiovascular system of the mother undergoes changes during pregnancy, leading to increased cardiac workload and a higher burden on the heart, which in turn can increase the incidence of arrhythmias. For women who are already at high risk of atrial flutter or fibrillation, this risk can increase further. Additionally, pregnant women are in an older physiological state, making it easier to form blood clots, and for those with atrial septal defects, the risk of paradoxical thrombosis increases.

home-news-image

Written by Li Hai Wen

Cardiology

48sec

home-news-image

Can a ventricular septal defect have a vaginal delivery?

Atrial septal defect is a relatively common congenital heart disease in adults. Therefore, when women are diagnosed with this condition, they often ask their doctor one question: "Can I give birth naturally?" This question requires a case-by-case analysis. If the atrial septal defect is not severe, does not cause changes in the heart structure, or lead to heart failure, then natural childbirth is definitely possible. However, if the atrial septal defect is severe and causes changes in heart structure, such as pulmonary hypertension or heart failure, then natural childbirth is generally not advisable. It is best to opt for a cesarean section under the guidance of a doctor to alleviate the burden on the pregnant woman and reduce the occurrence of serious incidents.