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2017 ; 6
(2
): 157-173
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Heart Disease and Pregnancy
#MMPMID28681178
Ashrafi R
; Curtis SL
Cardiol Ther
2017[Dec]; 6
(2
): 157-173
PMID28681178
show ga
Cardiac disease remains a major cause of morbidity and mortality in pregnant and
post-partum women, although progress has been made, with specialist joint
obstetric-cardiology clinics providing an integrated, safe and personalised
service to these women. As a result, fewer non-specialist cardiologists are
managing women in pregnancy with cardiovascular disease. The aim of this review
is to provide a brief overview of current knowledge and practice in the field,
with an emphasis on the major physiological changes which occur during pregnancy,
focussing on progress through the trimesters, clinical assessment in pregnancy,
management of delivery (concentrating on managed vaginal delivery), drug
treatment, key conditions and risk assessment. The latter factor is particularly
important in terms of being able to identify high-risk women earlier and to
counsel them appropriately. Pregnant women with cardiovascular conditions can,
with appropriate knowledge and counselling, be managed safely in specialist
multidisciplinary services, but there is a need for cardiologists to understand
the key changes and risks involved in pregnancy, delivery and the post-partum
period.