Ventricular septal defect (VSD)

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Prevention

By Mayo Clinic staff

In most cases, you can't do anything to prevent having a baby with a ventricular septal defect. However, it's important to do everything possible to have a healthy pregnancy. Here are the basics:

  • Get early prenatal care, even before you're pregnant. Quitting smoking, reducing stress, stopping birth control — these are all things to talk to your doctor about before you get pregnant. Also, be sure you talk to your doctor about any medications you're taking.
  • Eat a balanced diet. Include a vitamin supplement that contains folic acid. Also, limit caffeine.
  • Exercise regularly. Work with your doctor to develop an exercise plan that's right for you.
  • Avoid risks. These include harmful substances such as alcohol, cigarettes and illicit drugs. Also, avoid X-rays, hot tubs and saunas.
  • Avoid infections. Be sure you're up to date on all of your vaccinations before becoming pregnant. Certain types of infections can be harmful to a developing fetus.
  • Keep diabetes under control. If you have diabetes, work with your doctor to be sure it's well controlled before getting pregnant.

If you have a family history of heart defects or other genetic disorders, consider talking with a genetic counselor before getting pregnant.

References
  1. What are holes in the heart? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/holes/holes_whatare.html. Accessed Aug. 4, 2009.
  2. Ventricular septal defect (VSD). American Heart Association. http://www.americanheart.org/presenter.jhtml?identifier=11066. Accessed Aug. 4, 2009.
  3. Webb GD, et al. Congenital heart disease. In: Libby P, et al., eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/book/player/book.do?method=display&type=bookPage&decorator=header&eid=4-u1.0-B978-1-4160-4106-1..50064-9--cesec134&displayedEid=4-u1.0-B978-1-4160-4106-1..50064-9--cesec166&uniq=152762796&isbn=978-1-4160-4106-1#lpState=open&lpTab=contentsTab&content=4-u1.0-B978-1-4160-4106-1..50064-9%3Bfrom%3Dtoc%3Btype%3DbookPage%3Bisbn%3D978-1-4160-4106-1. Accessed Aug. 4, 2009.
  4. Dummer KB, et al. Pathophysiology and clinical features of isolated ventricular septal defects in infants and children. http://www.uptodate.com/home/index.html. Accessed Aug. 4, 2009.
  5. McMackin,CJ, et al. Ventricular septal defect. In: Ferri FF. Ferri's Clinical Advisor 2009. St. Louis, Mo.: Mosby; 2008. http://www.mdconsult.com/das/book/body/152762796-4/871305879/1701/628.html#4-u1.0-B978-0-323-04134-8..50025-2--subchapter8_13432. Accessed Aug. 4, 2009.
  6. Congenital heart defects. American Heart Association. http://www.americanheart.org/presenter.jhtml?identifier=4565. Accessed Aug. 4, 2009.
  7. Dummer KB, et al. Management of isolated ventricular septal defects in infants and children. http://www.uptodate.com/home/index.html. Accessed Aug. 4, 2009.
  8. Prevention of infective endocarditis: Guidelines from the American Heart Association. Circulation. 2007;116:1736.
  9. Genetic counseling for adults with congenital heart disease. American Heart Association. http://www.americanheart.org/presenter.jhtml?identifier=11083. Accessed Aug. 20, 2009.

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Nov. 17, 2009

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