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How to set up a pregnancy heart team.

K Rijs1, C D van der Marel1, A L M J van der Knijff-van Dortmont1

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Summary

Implementing a pregnancy heart team improves care for pregnant women with cardiovascular disease (CVD). This multidisciplinary approach ensures integrated management, reducing risks for both mother and baby.

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Area of Science:

  • Cardiology
  • Obstetrics
  • Maternal-Fetal Medicine

Background:

  • Cardiovascular disease (CVD) is a major cause of pregnancy complications and mortality.
  • Fragmented care for pregnant women with CVD leads to suboptimal outcomes.
  • European Society of Cardiology guidelines advocate for multidisciplinary pregnancy heart teams.

Purpose of the Study:

  • To describe the implementation and organization of a pregnancy heart team.
  • To provide integrated, multidisciplinary care for pregnant women with CVD.
  • To improve maternal and fetal outcomes in this high-risk population.

Main Methods:

  • Established a core team: cardio-obstetrician, maternal-fetal medicine specialist, obstetric anesthesiologist.
  • Integrated care through preconception, pregnancy, and postpartum consultations.
  • Utilized modified World Health Organization (mWHO) classification for risk assessment and management planning.
  • Emphasized shared decision-making and individualized peripartum care plans.

Main Results:

  • The pregnancy heart team model ensures continuity of care.
  • Structured risk assessment and individualized plans optimize management.
  • Multidisciplinary collaboration addresses complex maternal and fetal needs.

Conclusions:

  • A structured, multidisciplinary pregnancy heart team is a practical framework for managing pregnant women with CVD.
  • This integrated model enhances care coordination and aims to improve outcomes.
  • Implementation of such teams aligns with current clinical guidelines for high-risk pregnancies.