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Peripartum considerations for women with cardiac disease

Hanna Hussey1, Patrick Hussey1, Marie-Louise Meng2

  • 1Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, Birmingham, Alabama.

Current Opinion in Anaesthesiology
|May 3, 2021
PubMed

Insights

Cardiac disease in pregnancy is a leading cause of death. Optimal care involves preconception counseling and multidisciplinary teams at specialized centers for improved maternal outcomes.

Area of Science:

  • Cardiology
  • Obstetrics
  • Maternal-Fetal Medicine

Background:

  • Cardiovascular disease (CVD) is the primary cause of mortality in pregnant individuals in the U.S.
  • Managing cardiac conditions during pregnancy requires specialized approaches due to increased risks.

Purpose of the Study:

  • To review current best practices for managing cardiac disease in pregnancy.
  • To identify emerging trends and research in cardio-obstetrics.

Main Methods:

  • Literature review of current best practices.
  • Analysis of emerging themes in cardio-obstetric care.

Main Results:

  • Pulmonary hypertension presents the highest risk for adverse events in pregnant women.
  • Multidisciplinary care teams and established care pathways are crucial for high-risk patients.
  • Vaginal delivery with neuraxial anesthesia is generally preferred, though cesarean rates are higher in this population.

Conclusions:

  • Cardiac disease significantly contributes to maternal morbidity and mortality.
  • Preconception counseling is vital for patient preparation and expectation management.
  • Care at centers with multidisciplinary resources is essential for optimizing outcomes in cardio-obstetric patients.
Abstract

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