{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T19:51:24Z","timestamp":1769716284052,"version":"3.49.0"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T00:00:00Z","timestamp":1740960000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T00:00:00Z","timestamp":1740960000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Cardiol"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Women with congenital heart disease (CHD) are at elevated risk for morbidity and mortality during childbirth. Pediatric cardiologists are in a unique position to provide reproductive counseling to their patients with CHD. We evaluated contraception use in adolescents and young adults with CHD seen in a pediatric cardiology practice. Utilizing retrospective chart review, we evaluated all encounters for female patients aged 14 \u2013 21\u00a0years with CHD between January 2017 and June 2023 at a tertiary care center. Female patients without CHD seen over the same period were included as a comparator group. Logistic regression was used to evaluate predictors of contraception use. There were 12, 368 visits included in our study. Of the 9924 visits in patients without CHD, 23% were on contraception, and of the 2444 visits in patients with CHD, 22% were on contraception. There was an increase in contraception use over time. Controlling for age at visit, later visit year was associated with contraception use (OR 1.09 [95% CI 1.04\u201310.9] per year). CHD was associated with lower likelihood of contraception use [OR 0.79 [95% CI 0.70 \u2013 0.88]). Those with single ventricle (SV) CHD and complex CHD used long-acting reversible contraception more often (54% and 46% respectively) compared to those with simple or moderate CHD (17% and 16% respectively) or no CHD (18%). Patients with CHD are receiving contraception at a lower rate than those without CHD. Given the risks that women with CHD face with pregnancy, there should be a dedicated effort to increase the percentage of women with CHD on contraception.<\/jats:p>","DOI":"10.1007\/s00246-025-03791-y","type":"journal-article","created":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T13:52:08Z","timestamp":1741009928000},"page":"523-528","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Contraception Use in Adolescents and Young Adults with Congenital Heart Disease"],"prefix":"10.1007","volume":"47","author":[{"given":"Jaclyn","family":"Giafaglione","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"May Ling","family":"Mah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lydia K.","family":"Wright","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,3,3]]},"reference":[{"issue":"2","key":"3791_CR1","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1161\/CIRCULATIONAHA.115.019307","volume":"134","author":"SM Gilboa","year":"2016","unstructured":"Gilboa SM, Devine OJ, Kucik JE et al (2016) Congenital heart defects in the United States. Circulation 134(2):101\u2013109. https:\/\/doi.org\/10.1161\/CIRCULATIONAHA.115.019307","journal-title":"Circulation"},{"issue":"21","key":"3791_CR2","doi-asserted-by":"publisher","first-page":"2419","DOI":"10.1016\/j.jacc.2018.02.076","volume":"71","author":"CK Silversides","year":"2018","unstructured":"Silversides CK, Grewal J, Mason J et al (2018) Pregnancy outcomes in women with heart disease: The CARPREG II study. J Am Coll Cardiol 71(21):2419\u20132430. https:\/\/doi.org\/10.1016\/j.jacc.2018.02.076","journal-title":"J Am Coll Cardiol"},{"issue":"2","key":"3791_CR3","first-page":"1","volume":"70","author":"JA Martin","year":"2021","unstructured":"Martin JA, Hamilton BE, Osterman MJK, Driscoll AK (2021) Births: Final Data for 2019. Natl Vital Stat Rep Cent Dis Control Prev Natl Cent Health Stat Natl Vital Stat Syst 70(2):1\u201351","journal-title":"Natl Vital Stat Rep Cent Dis Control Prev Natl Cent Health Stat Natl Vital Stat Syst"},{"issue":"18","key":"3791_CR4","doi-asserted-by":"publisher","first-page":"e013608","DOI":"10.1161\/JAHA.119.013608","volume":"8","author":"SL Farr","year":"2019","unstructured":"Farr SL, Downing KF, Ailes EC et al (2019) Receipt of American heart association \u2014 Recommended preconception health care among privately insured women with congenital heart Defects, 2007\u20132013. J Am Heart Assoc Cardiovasc Cerebrovasc Dis 8(18):e013608. https:\/\/doi.org\/10.1161\/JAHA.119.013608","journal-title":"J Am Heart Assoc Cardiovasc Cerebrovasc Dis"},{"issue":"4","key":"3791_CR5","doi-asserted-by":"publisher","first-page":"396","DOI":"10.1016\/j.jadohealth.2014.12.013","volume":"56","author":"KM Fry","year":"2015","unstructured":"Fry KM, Gerhardt CA, Ash J et al (2015) Lifetime prevalence of sexual intercourse and contraception use at last sex among adolescents and young adults with congenital heart disease. J Adolesc Health Off Publ Soc Adolesc Med 56(4):396\u2013401. https:\/\/doi.org\/10.1016\/j.jadohealth.2014.12.013","journal-title":"J Adolesc Health Off Publ Soc Adolesc Med"},{"issue":"5","key":"3791_CR6","doi-asserted-by":"publisher","first-page":"e90","DOI":"10.1097\/AOG.0000000000004133","volume":"136","author":"American College of Obstetricians and Gynecologists\u2019 Committee on Adolescent Health Care","year":"2020","unstructured":"American College of Obstetricians and Gynecologists\u2019 Committee on Adolescent Health Care (2020) Gynecologic considerations for adolescents and young women with cardiac conditions: ACOG Committee opinion, Number 813. Obstet Gynecol 136(5):e90\u2013e99. https:\/\/doi.org\/10.1097\/AOG.0000000000004133","journal-title":"Obstet Gynecol"},{"key":"3791_CR7","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2018.7186","author":"AE Brown","year":"2020","unstructured":"Brown AE, Bradbrook KE, Casey FE (2020) A survey of adult and pediatric cardiology fellows on training received in family planning counseling. J Womens Health. https:\/\/doi.org\/10.1089\/jwh.2018.7186","journal-title":"J Womens Health"},{"issue":"12","key":"3791_CR8","doi-asserted-by":"publisher","first-page":"e81","DOI":"10.1016\/j.jacc.2018.08.1029","volume":"73","author":"KK Stout","year":"2019","unstructured":"Stout KK, Daniels CJ, Aboulhosn JA et al (2019) 2018 AHA\/ACC guideline for the management of adults with congenital heart disease. J Am Coll Cardiol 73(12):e81\u2013e192. https:\/\/doi.org\/10.1016\/j.jacc.2018.08.1029","journal-title":"J Am Coll Cardiol"},{"issue":"24","key":"3791_CR9","doi-asserted-by":"publisher","first-page":"2507","DOI":"10.1001\/jama.2021.21392","volume":"326","author":"S Teal","year":"2021","unstructured":"Teal S, Edelman A (2021) Contraception selection, effectiveness, and adverse effects: A review. JAMA 326(24):2507\u20132518. https:\/\/doi.org\/10.1001\/jama.2021.21392","journal-title":"JAMA"},{"issue":"8","key":"3791_CR10","doi-asserted-by":"publisher","first-page":"e024229","DOI":"10.1161\/JAHA.121.024229","volume":"11","author":"NA Bello","year":"2022","unstructured":"Bello NA, Agrawal A, Davis MB et al (2022) Need for better and broader training in cardio-obstetrics: A national survey of cardiologists, cardiovascular team members, and cardiology fellows in training. J Am Heart Assoc 11(8):e024229. https:\/\/doi.org\/10.1161\/JAHA.121.024229","journal-title":"J Am Heart Assoc"}],"container-title":["Pediatric Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00246-025-03791-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00246-025-03791-y","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00246-025-03791-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T09:09:36Z","timestamp":1769677776000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00246-025-03791-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,3]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["3791"],"URL":"https:\/\/doi.org\/10.1007\/s00246-025-03791-y","relation":{},"ISSN":["0172-0643","1432-1971"],"issn-type":[{"value":"0172-0643","type":"print"},{"value":"1432-1971","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,3]]},"assertion":[{"value":"26 November 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 January 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 March 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}