Preconception counselling in women of reproductive age attending cardiology clinics in Scotland
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
| Group | Value | Distribution |
|---|---|---|
| mWHO class I | 6.0% | 15.0% |
| mWHO class II | 8.7% | 20.2% |
| mWHO class II-III | 10.6% | 22.6% |
| mWHO class III | 15.7% | 9.5% |
| mWHO class IV | 19.7% | 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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