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Cardiovascular Contribution to Maternal Mortality
Anna Grodzinsky1, Laura Schmidt1
1Saint Luke's Mid America Heart Institute and Muriel Kauffman Women's Heart Center, 4401 Wornall Road, Kansas City, MO 64111, USA.
Insights
Maternal mortality is rising in the US, driven by cardiovascular disease, disproportionately impacting Black and Hispanic mothers. This review addresses knowledge gaps and best practices for heart disease in pregnancy.
Area of Science:
- Cardiology
- Maternal Health
- Public Health
Background:
- The United States faces a unique increase in maternal mortality among industrialized nations.
- Cardiovascular disease is the primary driver of maternal deaths.
- Disparities exist, with Black and Hispanic mothers disproportionately affected by adverse cardiovascular outcomes.
Purpose of the Study:
- To identify and address critical knowledge gaps in managing heart disease during pregnancy.
- To highlight initiatives aimed at improving cardiovascular care for pregnant women.
- To outline guidelines and best practices for managing maternal and fetal cardiovascular conditions.
Main Methods:
- Literature review of current research on cardiovascular disease in pregnancy.
- Analysis of existing initiatives and public health strategies.
- Synthesis of clinical guidelines and best practice recommendations.
Main Results:
- Significant knowledge gaps persist in the treatment of heart disease in pregnant individuals.
- Targeted initiatives are emerging to bridge these gaps.
- Evidence-based guidelines are crucial for optimizing care.
Conclusions:
- Addressing cardiovascular disease in pregnancy is essential to reduce rising US maternal mortality rates.
- Closing knowledge gaps and implementing best practices can mitigate disparities.
- Improved care pathways are needed for pregnant women and their infants with cardiac conditions.
Abstract:
The United States is the only industrialized nation with an increasing maternal mortality. Many factors contribute to this worrisome US trend; among them, social and demographic factors, and congenital and acquired cardiac conditions. Cardiovascular disease is the leading cause of maternal mortality, and adverse outcomes related to cardiovascular disease disproportionately affect black and Hispanic mothers. This article addresses knowledge gaps related to the treatment of heart disease in pregnancy, initiatives to address these gaps, and guidelines and best practices surrounding the care of women affected by cardiovascular disease and their babies affected by cardiovascular disease.
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