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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Safe To Go For Normal Delivery With A Hole In Heart?

My name is kiran, this is regarding my wife s health..She is pregnant and when she checked with doctor regarding normal or operation..Doctors preferred operation is best, by because they told she has a hole in the heart(PFO) 1mm...It is not good to have normal delivery better to chose Operation... My questions are ..is this correct...how to refill that hole in future ..what treatment is good for that.....can my wife go for normal delivery
Mon, 14 Dec 2015
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OBGYN 's  Response
Hi Kiran, Welcome to HCM,

Patent Foramen Ovale (PFO), of just 1 mm, if seen by a cardiologist and if her Cardiac ECHO and ECG are fine and she does not have any symptoms such as breathlessness, cyanosis (turning blue of hands and feet), and if she opts for delivery in a tertiary care institute where cardiologist and senior obstetrician are available, she could try for a normal delivery.
This small a PFO, without any other heart disease will not affect her delivery, and even if she undergoes cesarean better to have it at a tertiary institute with good cardiac anesthetists.
Also do get the anomaly scan of your baby taken at 20 weeks and a 2D fetal echo done at 22-24 weeks to rule any cardiac problem sin the baby. As children of mother with heart disease have a slightly higher chance of heart disease.
Hope this helps.
Regards.


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Is It Safe To Go For Normal Delivery With A Hole In Heart?

Hi Kiran, Welcome to HCM, Patent Foramen Ovale (PFO), of just 1 mm, if seen by a cardiologist and if her Cardiac ECHO and ECG are fine and she does not have any symptoms such as breathlessness, cyanosis (turning blue of hands and feet), and if she opts for delivery in a tertiary care institute where cardiologist and senior obstetrician are available, she could try for a normal delivery. This small a PFO, without any other heart disease will not affect her delivery, and even if she undergoes cesarean better to have it at a tertiary institute with good cardiac anesthetists. Also do get the anomaly scan of your baby taken at 20 weeks and a 2D fetal echo done at 22-24 weeks to rule any cardiac problem sin the baby. As children of mother with heart disease have a slightly higher chance of heart disease. Hope this helps. Regards.