Team-Based Care of Women With Cardiovascular Disease From Pre-Conception Through Pregnancy and Postpartum: JACC Focus Seminar 1/5

American College of Cardiology Cardiovascular Disease in Women Committee and the Cardio-Obstetrics Work Group

Research output: Contribution to journalReview articlepeer-review

18 Scopus citations

Abstract

The specialty of cardio-obstetrics has emerged in response to the rising rates of maternal morbidity and mortality related to cardiovascular disease (CVD) during pregnancy. Women of childbearing age with or at risk for CVD should receive appropriate counseling regarding maternal and fetal risks of pregnancy, medical optimization, and contraception advice. A multidisciplinary cardio-obstetrics team should ensure appropriate monitoring during pregnancy, plan for labor and delivery, and ensure close follow-up during the postpartum period when CVD complications remain common. The hemodynamic changes throughout pregnancy and during labor and delivery should be considered with respect to the individual cardiac disease of the patient. The fourth trimester refers to the 12 weeks after delivery and is a key time to address contraception, mental health, cardiovascular risk factors, and identify any potential postpartum complications. Women with adverse pregnancy outcomes are at increased risk of long-term CVD and should receive appropriate education and longitudinal follow-up.

Original languageEnglish
Pages (from-to)1763-1777
Number of pages15
JournalJournal of the American College of Cardiology
Volume77
Issue number14
DOIs
StatePublished - Apr 13 2021

Keywords

  • cardio-obstetrics
  • cardiovascular disease
  • pregnancy
  • team care
  • women

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