Cardio-oncology & other

Preconception counselling in women of reproductive age attending cardiology clinics in Scotland

HeartPublished Retrospective cohort study

Authors' conclusion

PCC is documented infrequently in women of reproductive age with CVD in the general outpatient setting.

Study context

Population
Women of reproductive age with a cardiac diagnosis attending general cardiology outpatient clinics in Scotland, 2016
Participants
1,650 women
Exposure
Modified WHO (mWHO) class I vs mWHO class II vs mWHO class II-III vs mWHO class III vs mWHO class IV
Outcome
Provision of documented preconception counselling (PCC)
Methodological details2 Scottish health boards, Electronic health record review
  • 2 Scottish health boards
  • Electronic health record review

Main finding

As reported in the abstract

PCC documented
GroupValueDistribution
mWHO class I6.0%15.0%
mWHO class II8.7%20.2%
mWHO class II-III10.6%22.6%
mWHO class III15.7%9.5%
mWHO class IV19.7%3.9%

Value

mWHO class I6.0%
mWHO class II8.7%
mWHO class II-III10.6%
mWHO class III15.7%
mWHO class IV19.7%

Distribution

mWHO class I15.0%
mWHO class II20.2%
mWHO class II-III22.6%
mWHO class III9.5%
mWHO class IV3.9%
PCC documented in women not pregnant or unable to conceive at review
10.3% (159/1548)

Observational data: associations, not effects.

Further findings

Prescribed ≥1 potentially fetotoxic CV medication

All women
402, 24.4%

Consultant-led clinic attendance

All women
1574 (95.4%)

Age

Mean age, years
32.7±8.6

Original publication

Preconception counselling in women of reproductive age attending cardiology clinics in Scotland. Heart. Published 16 April 2024. doi:10.1136/heartjnl-2023-323666

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