I B-NR Men and women of childbearing age with CHD should be counseled on the risk of CHD recurrence in offspring.S3.13.1-9 IIa B-NR Exercise testing can be useful for risk assessment in women with ACHD AP classification IC-D, IIA-D, and IIIA-D* who are considering pregnancy.S3.13.1-10,S3.13.1-11 IIa B-NR When either parent has CHD, it is reasonable to perform fetal *See Tables 3 and 4 for the ACHD AP classification system. Synopsis Most data regarding cardiac and obstetric risk to women with CHD during pregnancy derive from ret- rospective case series.S3.13.1-2 S3.13.1-5,S3.13.1-8,S3.13.1-10,S3.13.1-12, Many women with CHD considering pregnancy may have received inconsistent guidance regarding pregnancy risks.S3.13.1-21 Several risk scores have been developed to risk-stratify women with heart disease desiring pregnancy,S3.13.1-2,S3.13.1-7 and a prospective Table 11. 