How Should Mitral Valve Prolapse Be Managed During Pregnancy?

Pregnancy has no adverse effects on this syndrome. Although some recommend endocarditis prophylaxis for labor and delivery, this is probably not necessary with routine vaginal delivery.

What other cardiac lesions are generally well tolerated during pregnancy?

‚ Aortic and mitral insufficiency if the patient is asymptomatic or only mildly symptomatic.

‚ Atrial septal defect, ventricular septal defect, and patent ductus arteriosus if corrected or without evidence of large left-to-right shunt or pulmonary hypertension.

‚ Tricuspid and pulmonary valvular lesions.

In which cardiac conditions should pregnancy be avoided?

Uncorrected tetralogy of Fallot.

Pulmonary hypertension.

Eisenmenger's syndrome.

Marfan's syndrome with a dilated aortic root.

Cardiomyopathy of any cause.

Coronary artery disease, especially in women with diabetes.

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