Dataset Information

Attitudes & practices surrounding pregnancy post heart transplant among pediatric providers.

ABSTRACT:

Background

Many pediatric heart transplant (HT) recipients reach adulthood and may be interested in family planning; there is little data regarding safety of pregnancy post HT and clinicians' opinions differ. Pediatric HT clinicians are instrumental in early counseling. Thus, a better understanding of pediatric HT clinicians' practices regarding family planning and how well aligned these practices are with adult transplant centers is essential.

Methods

We conducted a confidential, web-based survey of pediatric HT clinicians in fall 2021. We summarized and compared answers using Fisher's exact test.

Results

The survey was sent to 53 United States-based HT directors and to the International Society for Heart and Lung Transplantation and Pediatric Heart Transplant Society list serves. There were 69 respondents. The majority (77%) of respondents felt pregnancy was feasible in selected or all female HT recipients. Ten respondents reported that their institution had an established policy regarding pregnancy post HT. A majority (77%) of HT clinicians would either use a shared care model or recommend transition to their adult institution if pregnancy occurred, though 74% of respondents were either unaware of their corresponding adult institution's policy (62%) or had a counterpart adult program with a policy against pregnancy post HT (12%).

Conclusions

While many clinicians feel pregnancy is feasible in pediatric HT recipients, there remains significant practice variation. Few pediatric programs have a policy regarding pregnancy post HT. Future efforts to provide consistent messaging between adult and pediatric HT programs regarding the feasibility and care of post HT pregnancy are warranted.

SUBMITTER: Collins MM

PROVIDER: S-EPMC10567538 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature

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Publications

Attitudes & practices surrounding pregnancy post heart transplant among pediatric providers.

Collins Megan M MM Ou Zhining Z Millar Morgan M MM Kittleson Michelle M MM May Lindsay J LJ Ploutz Michelle S MS Molina Kimberly M KM Hayes Katherine G KG Lal Ashwin K AK

The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation 20220730 11

<h4>Background</h4>Many pediatric heart transplant (HT) recipients reach adulthood and may be interested in family planning; there is little data regarding safety of pregnancy post HT and clinicians' opinions differ. Pediatric HT clinicians are instrumental in early counseling. Thus, a better understanding of pediatric HT clinicians' practices regarding family planning and how well aligned these practices are with adult transplant centers is essential.<h4>Methods</h4>We conducted a confidential, ...[more]

PMID: 36030149

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Dataset Information

Attitudes & practices surrounding pregnancy post heart transplant among pediatric providers.

Background

Methods

Results

Conclusions

Publications

Attitudes & practices surrounding pregnancy post heart transplant among pediatric providers.

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