{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T06:02:43Z","timestamp":1740895363224,"version":"3.38.0"},"reference-count":10,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2016,11,11]],"date-time":"2016-11-11T00:00:00Z","timestamp":1478822400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Obstet Med"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:p> This article summarizes and critiques four recent publications looking at preconception counseling, pregnancy outcomes, and cardiac complications in women with history of Fontan circulation. The Fontan procedure is a palliative strategy for single-ventricle type congenital heart disease and involves passive flow of venous return into the pulmonary circulation, bypassing the ventricles. Pregnancy in these patients is not without risk and preconception counseling and contraception practices vary widely. High rates of miscarriage, prematurity, and small-for-gestational-age babies are reported. Cardiac complications include mainly arrhythmias. Whether long-term prognosis in these patients is affected by pregnancy is not yet known. <\/jats:p>","DOI":"10.1177\/1753495x16676727","type":"journal-article","created":{"date-parts":[[2016,11,12]],"date-time":"2016-11-12T01:09:58Z","timestamp":1478912998000},"page":"104-106","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Fontan circulation and implications for future reproduction"],"prefix":"10.1177","volume":"10","author":[{"given":"Niharika","family":"Mehta","sequence":"first","affiliation":[{"name":"Department of Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA"},{"name":"Division of Obstetric Medicine, Women and Infants Hospital of Rhode Island, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Srilakshmi","family":"Mitta","sequence":"additional","affiliation":[{"name":"Department of Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA"},{"name":"Division of Obstetric Medicine, Women and Infants Hospital of Rhode Island, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,11,11]]},"reference":[{"key":"bibr1-1753495X16676727","doi-asserted-by":"publisher","DOI":"10.1053\/j.pcsu.2015.11.006"},{"key":"bibr2-1753495X16676727","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2009.218594"},{"key":"bibr3-1753495X16676727","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2008.02.081"},{"key":"bibr4-1753495X16676727","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31820cab69"},{"key":"bibr5-1753495X16676727","doi-asserted-by":"crossref","unstructured":"Pijuan-Dom\u00e8nech A, Galian L, Goya M, et\u00a0al. Cardiac complications during pregnancy are better predicted with the modified WHO risk score. Int J Cardiol 2015 Sep 15; 195: 149\u2013154.","DOI":"10.1016\/j.ijcard.2015.05.076"},{"key":"bibr6-1753495X16676727","doi-asserted-by":"crossref","unstructured":"Balci A, Sollie-Szarynska KM and van der Bijl AG. Prospective validation and assessment of cardiovascular and offspring risk models for pregnant women with congenital heart disease. Heart 2014 Sep; 100: 1373\u20131381.","DOI":"10.1136\/heartjnl-2014-305597"},{"key":"bibr7-1753495X16676727","doi-asserted-by":"crossref","unstructured":"Drenthen W, Pieper PG, Roos-Hesselink JW, et\u00a0al. ZAHARA Investigators. Pregnancy and delivery in women after Fontan palliation. Heart 2006 Sep; 92: 1290\u20131294.","DOI":"10.1136\/hrt.2005.085407"},{"key":"bibr8-1753495X16676727","doi-asserted-by":"crossref","unstructured":"Canobbio MM, Mair DD, van der Velde M, et\u00a0al. Pregnancy outcomes after the Fontan repair. 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