Subsequent fertility in women who undergo cardiac surgery

Nunley WC Jr, W C Nunley, Wallace C. Nunley, L A Kolp, Kolp LA, Lisa A. Kolp, Dabinett LN, L. N. Dabinett, J D Kitchin, James D. Kitcbin, Kitchin JD 3rd, Bateman BG, Bruce G. Bateman, B G Bateman, George B. Craddock, G B Craddock, Craddock GB Jr
American journal of obstetrics and gynecology · 1989 · vol. 161(3) , pp. 573–576 · doi:10.1016/0002-9378(89)90358-x · PMID:2782337 · W1966111772
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This paper examined subsequent fertility in women after cardiac surgery, reporting on pregnancy outcomes and fertility rates.

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Abstract

A retrospective review was undertaken on all pediatric and reproductive-aged females who underwent cardiac surgery and required cardiopulmonary bypass from 1958 through 1986. The purpose of this study was to define the fertility of these patients after surgery and to compare their reproductive performance with that in the general population. Analysis was complete for 208 patients. These patients make up the following cardiac surgical categories: septal defect repairs, 92; commissurotomies, 60; valve replacements, 46; tetralogy of Fallot repairs, 6; and coronary artery bypass procedures, 4. Of 208 patients, 68 (32.7%) attempted pregnancy after surgery. Infertility was defined in five women as follows: endometriosis, 3; ovulatory dysfunction, 1; unknown, 1. A total of 64 patients conceived 121 pregnancies with the following outcomes: live births, 98; spontaneous abortion, 9; ectopic pregnancy, 2; therapeutic abortion, 12. Our results suggest that infertility is not an apparent disorder after cardiac surgery and that subsequent pregnancy outcomes are similar to those in the general population.

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Condition tags

endometriosis

MeSH descriptors

Cardiac Surgical Procedures Cardiopulmonary Bypass Fertility Adolescent Adult Endometriosis Endometriosis Female Humans Infertility, Female Infertility, Female Infertility, Female Retrospective Studies

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License: CC0 · commercial use OK