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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Congenital Heart Problem Be Expected In Future Pregnancies?

Sir, We had a baby who had conginetal heart problem(pulmonary venous Stenosis) and all docs said there is no cure. In sep he underwent a repair surgery at Narayana Hrudayala and became ok . but due to infection we lost him in october. now the question is, would this be a problem for next child birth? My wife had 3 abortions prior to that pregnancy which were lasting only for 2 weeks. We underwent chromosomal test which was normal and normal count. we are planning for our next child and we are in great tension thinking if the next child will have some problem due to this. Please tell us what to be done.                                                                  
Mon, 4 Apr 2016
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General & Family Physician 's  Response
HI,
Thanks for the query. I have read your query carefully & understood your concern.
Congenital heart problems arise due to various causes like genetic ( as you have already don both of your chromosomal anlysis.. the risk is lesser ).. if there is family history of such problem in both of your families.. the possibility has to be checked in fetus / viral infection, rubella infection of mother in first 3 months of pregnancy/ Type one or two diabetes in mother/ mother taking alcohol/ Taking certain drugs for seizures, pain killers like Ibuprofen,treatment of acne.. during pregnancy can affect heart development in fetus.
* While planning for child you should keep in mind the risk factors & prevent them as per possibility.Taking anti Rubella vaccine 6 months before pregnancy is advised.
* Be in regular touch with treating gynecologist when she is pregnant.Pregnancy fetal abnormality scan ( in 5th month )/ triple guard test/ chromosomal analysis are few investigations which can indicate fetal abnormality ... if diagnosed in time necessary action can be taken in time.
Hope, this helps you in planning. BE careful & observant.. instead of being scared & stressed.. this will definitely give you positive results.
Thanks,
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Could Congenital Heart Problem Be Expected In Future Pregnancies?

HI, Thanks for the query. I have read your query carefully & understood your concern. Congenital heart problems arise due to various causes like genetic ( as you have already don both of your chromosomal anlysis.. the risk is lesser ).. if there is family history of such problem in both of your families.. the possibility has to be checked in fetus / viral infection, rubella infection of mother in first 3 months of pregnancy/ Type one or two diabetes in mother/ mother taking alcohol/ Taking certain drugs for seizures, pain killers like Ibuprofen,treatment of acne.. during pregnancy can affect heart development in fetus. * While planning for child you should keep in mind the risk factors & prevent them as per possibility.Taking anti Rubella vaccine 6 months before pregnancy is advised. * Be in regular touch with treating gynecologist when she is pregnant.Pregnancy fetal abnormality scan ( in 5th month )/ triple guard test/ chromosomal analysis are few investigations which can indicate fetal abnormality ... if diagnosed in time necessary action can be taken in time. Hope, this helps you in planning. BE careful & observant.. instead of being scared & stressed.. this will definitely give you positive results. Thanks,