Women with repaired VSDs and normal heart function, or those with small, asymptomatic VSDs can have children without a higher than normal risk for problems during pregnancy. Women who have an unrepaired VSD or a closed VSD with heart and/or lung complications who desire to become pregnant should seek the advice of an adult congenital heart disease specialist and a specialist in high-risk pregnancy. With proper prenatal care and monitoring, these women usually can have successful pregnancies also.
Pregnancy is not recommended for women with large VSDs and pulmonary hypertension because of high maternal mortality rates.