Current status and future of cardio-obstetrics-review

Author:

Khalid Humna1,Karishma Fnu2,Mumtaz Hassan3,Saqib Muhammad4ORCID,Iftikhar Muhammad4,Shahab Ramsha5

Affiliation:

1. Bahawalpur Victoria Hospital, Bahawalpur

2. Jinnah Sindh Medical University

3. Health Services Academy, Islamabad

4. Khyber Medical College, Peshawar, Pakistan

5. Jinnah Postgraduate Medical Center, Karachi

Abstract

Cardio-obstetrics refers to an approach to maternal care that is based upon teamwork with specialists from maternal-foetal medicine, cardiology, anaesthesiology, neonatology, nursing, social work, and pharmacy that work together to achieve appropriate outcomes for the pregnant patient. The aim of this paper is to highlight and provide a narrative review on the currently published research on the current status and future of cardio-obstetrics. A short review on the hemodynamic physiology in pregnancy has also been described in this paper. The authors have discussed the major risk factors associated with exacerbation of pregnancy and the possible remedies that are currently available in this paper in accordance to the updated research. The cardio-obstetrics team provides advice about healthy pregnancy planning before conception. Proper cardio-obstetric care is associated with better outcomes in women with a high cardiovascular risk with decreased adverse maternal and foetal outcomes. Such care should be given to underserved and marginalized communities with great care as they have largely lacked such care in the past. The authors conclude the paper by recommendations to advance this newly emerging field by way of further scientific research and public awareness. This review can serve helpful to any physician working in the healthcare as well as the public that are interested in awareness about the multidisciplinary needs of pregnant women with cardiovascular disease.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Medicine,Surgery

Reference38 articles.

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2. Cardio-Obstetrics. Circulation cardiovascular quality and outcomes;Davis,2019

3. Cardiovascular care for pregnant women with cardiovascular disease;Magun;J Am College Cardiol,2020

4. Pregnancy-related mortality in the United States, 2011-2013;Creanga;Obstetr Gynecol,2017

5. Identifying maternal deaths in Texas using an enhanced method, 2012;Koch;Obstetr Gynecol,2018

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