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Related Experiment Videos

Medically complex pregnancy: a case report illustrating CNM/MD collaborative management.

M Gray1, L D'Amato

  • 1Wesson Women and Infants' Unit, Baystate Medical Center, Springfield, MA 01199, USA.

Journal of Midwifery & Women'S Health
|January 11, 2001
PubMed
Summary

This case study highlights collaborative midwifery and physician care for pregnant women with complex cardiac conditions like Wolff-Parkinson-White syndrome. It emphasizes achieving a family-centered birth experience for medically complex patients.

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Area of Science:

  • Cardiology
  • Maternal-Fetal Medicine
  • Obstetrics

Background:

  • Increasingly, women with complex medical conditions are pursuing pregnancy.
  • Midwifery care can support the desire for a family-centered birth experience.
  • Collaborative management between midwives and physicians is crucial for complex cases.

Observation:

  • A case of collaborative management during pregnancy and delivery for a patient with Wolff-Parkinson-White syndrome (WPW) is presented.
  • The patient was diagnosed with WPW at 13, initially managed with medication, but later required cardiac ablation due to worsening symptoms.
  • The patient sought midwifery care for a family-centered birth.

Findings:

  • The article details the pertinent physiologic events, benefits, and process of collaborative care for a medically complex pregnant patient.

Related Experiment Videos

  • A review of the cardiophysiology of Wolff-Parkinson-White syndrome is included.
  • Successful collaborative management facilitated a positive birth experience.

    • Implications:

    • This case illustrates enhanced care possibilities for medically complex pregnant patients through collaborative management.
    • It underscores the importance of interdisciplinary collaboration in managing challenging obstetric cases.
    • The findings support the integration of specialized cardiac care within obstetric management.