EISENMENGER'S SYNDROME AND PREGNANCY

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Abstract
Nine cases of Eisenmenger's syndrome associated with pregnancy are described, and the relevant literature is reviewed. Prior diagnosis of Eisenmenger's syndrome is a very strong contraindication to pregnancy. However, when pregnancy occurs, each patient should be managed on her own merits. It is felt that termination of pregnancy is of very little help, as the risks of surgery or of continuing the pregnancy are comparable. Great care should be taken to avoid blood loss in any surgical procedure or with delivery, and tubal ligation should only be recommended in a remote relationship to pregnancy. Anticoagulant therapy is recommended after both delivery and surgery.

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