Pregnancy and its outcome in women with and without surgical correction of Tetralogy of Fallot
Keywords:Tetralogy of Fallot, pregnancy
Two pregnant ladies came with Tetralogy of Fellot (TOF) for antenatal care. One of them had been operated and the other one was not operated. One who had been operated delivered a healthy baby. The other one was medically managed with oxygen, propranolol and maintainance of hydration. She delivered a normal baby with normal delivery. In repaired Tetralogy of Fallot (rTOF), the risk of pregnancy is dependant on the degree of residual haemodynamic impairment. Where a good repair has been achieved, pregnancy is usually well tolerated in the absence of pregnancy complications such as pre-eclampsia. In patients with uncorrected Tetralogy of Fallot, attention to volume status should be continued during the early postpartum period. A reliable contraceptive plan should be made, permanent sterilization is a good alternative.
University Heart Journal Vol. 5, No. 1, January 2009 42-43