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The contemporary cardio-obstetrics team: The path to improving maternal outcomes in high-risk patients

Diana S Wolfe1, Kerly Guerrero1

  • 1Maternal Fetal Medicine Cardiology Joint Program, Division of Maternal Fetal Medicine, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.

American Heart Journal
|December 14, 2024
PubMed

Insights

Cardio-Obstetrics teams manage cardiovascular risks in pregnant individuals. These multidisciplinary teams are essential for optimizing care in high-risk patients with cardiac conditions.

Area of Science:

  • Cardiology
  • Obstetrics
  • Maternal-Fetal Medicine

Background:

  • Cardiovascular disease poses significant risks during pregnancy.
  • Managing pregnant individuals with cardiac conditions requires specialized, multidisciplinary care.
  • Cardio-Obstetrics teams are crucial for high-risk maternal care.

Purpose of the Study:

  • To describe the establishment and function of a Cardio-Obstetrics program.
  • To provide a model for other institutions developing similar programs.
  • To highlight the essential roles of multidisciplinary Cardio-Obstetrics teams.

Main Methods:

  • Formation of a multidisciplinary team including cardiologists and obstetricians.
  • Implementation of structured preconception counseling and risk stratification.
  • Development of protocols for prenatal, postpartum, and emergent cardiac care during pregnancy.

Main Results:

  • Multidisciplinary teams are essential for optimizing care for pregnant patients with cardiac disease.
  • Cardio-Obstetrics programs facilitate comprehensive management from preconception to postpartum.
  • These teams address acquired cardiac disease, congenital cardiac conditions, and unmasked cardiac issues during pregnancy.

Conclusions:

  • Cardio-Obstetrics programs are vital for improving outcomes in high-risk pregnancies.
  • Multidisciplinary collaboration is key to managing complex cardiac conditions in obstetrics.
  • Establishing Cardio-Obstetrics teams can enhance maternal cardiovascular health and safety.

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