How should preconception counseling be arranged for a patient with rheumatic heart disease planning pregnancy?

First contact the doctor currently managing the heart condition, and ask the intended hospital about preconception evaluation and relevant specialty collaboration processes. Bring recent test results, past treatment records, and a complete medication list, and explain the pregnancy plan. Ask the doctor to clarify which additional evaluations are needed, how current medications should be reviewed, and the follow-up schedule. Whether and when pregnancy is appropriate requires individualized assessment; do not stop medications on your own or make decisions based on online experiences.