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Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography
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Improving Cardiovascular Workforce Competencies in Cardio-Obstetrics: Current Challenges and Future Directions

Garima Sharma1, Sammy Zakaria1, Erin D Michos1

  • 1Division of Cardiology Johns Hopkins Ciccarone Center for Prevention of Cardiovascular Diseases Johns Hopkins University School of Medicine Baltimore MD.

Journal of the American Heart Association
|June 3, 2020
PubMed

Insights

Improving maternal cardiovascular care requires specialized training in cardio-obstetrics. This field addresses the high maternal mortality rate in the US, driven by cardiovascular disease during pregnancy.

Area of Science:

  • Cardiology
  • Obstetrics
  • Maternal Health

Background:

  • Maternal mortality in the US is alarmingly high compared to other developed nations.
  • Cardiovascular disease is a significant and growing concern for pregnant individuals and postpartum patients.

Purpose of the Study:

  • To review the challenges and needs in establishing a dedicated cardio-obstetrics community.
  • To highlight the necessity for specialized training for healthcare providers managing obstetric patients with cardiovascular conditions.

Main Methods:

  • Review of current literature and practices in cardio-obstetrics.
  • Identification of existing gaps in training and collaboration.
  • Analysis of potential strategies for improvement.

Main Results:

  • There is a recognized need for formal cardio-obstetrics training programs.
  • Development of joint societal guidelines and multidisciplinary 'pregnancy heart teams' are crucial.
  • Increased collaboration and data registries are vital for progress.

Conclusions:

  • Specialized training in cardio-obstetrics is essential to improve cardiovascular care for pregnant patients.
  • Establishing a robust cardio-obstetrics community requires collaborative efforts, standardized guidelines, and dedicated training initiatives.
  • Addressing these needs can help reduce maternal mortality rates associated with cardiovascular disease.

Keywords:
cardiovascular disease preventioncardio‐obstetricspreeclampsia/pregnancypregnancy and postpartumtraining

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