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Related Experiment Video

Updated: Sep 7, 2025

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators
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Instituting a Curriculum for Cardio-Obstetrics Subspecialty Fellowship Training.

Anum S Minhas1, Sarah A Goldstein2, Arthur Jason Vaught1

  • 1Johns Hopkins University School of Medicine, Baltimore, Maryland, US.

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Maternal mortality is rising due to cardiovascular disease. This paper proposes a specialized cardio-obstetrics training pathway to better manage heart disease in pregnant women and improve outcomes.

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Area of Science:

  • Cardiology
  • Obstetrics
  • Medical Education

Background:

  • Maternal mortality is increasing in the US, with cardiovascular disease as the primary cause.
  • Adverse pregnancy outcomes like preeclampsia and gestational diabetes elevate risks for maternal cardiovascular complications and long-term risks.
  • Cardio-obstetrics, a cardiology subspecialty, manages heart disease in pregnant women but lacks standardized advanced training.

Purpose of the Study:

  • To address the growing need for cardio-obstetrics specialists.
  • To define a comprehensive training pathway for managing cardiovascular disease in pregnancy.
  • To improve cardiovascular care for high-risk pregnant patients.

Main Methods:

  • Review of current recommendations for cardiovascular fellowship training.
  • Identification of knowledge gaps in existing training programs.
  • Proposal of a specialized cardio-obstetrics training pathway incorporating multidisciplinary team participation.

Main Results:

  • Current cardiovascular fellowship training offers limited detail on managing heart disease in pregnancy.
  • Advanced subspecialty training in cardio-obstetrics is not widely available.
  • A proposed pathway emphasizes multidisciplinary collaboration and comprehensive care.

Conclusions:

  • A dedicated cardio-obstetrics training pathway is essential for preparing specialists.
  • Standardized training will enhance the management of cardiovascular disease before, during, and after pregnancy.
  • Improved training is crucial for reducing maternal mortality and improving long-term cardiovascular health.