Team-Based Care of Women With Cardiovascular Disease From Pre-Conception Through Pregnancy and Postpartum
| Autor: | Lisa M. Hollier, Dominique Williams, Kelly Epps, Haywood L. Brown, Katherine W. Arendt, Mary Norine Walsh, Ki Park, Malissa J. Wood, Elizabeth Langen, Natalie A. Bello, Kathryn J. Lindley, Candice K. Silversides, Joan Briller, Melinda B. Davis |
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| Rok vydání: | 2021 |
| Předmět: |
Pregnancy
medicine.medical_specialty business.industry Obstetrics Cardiovascular risk factors Specialty Disease 030204 cardiovascular system & hematology medicine.disease Mental health 03 medical and health sciences 0302 clinical medicine Increased risk Childbearing age Medicine 030212 general & internal medicine Cardiology and Cardiovascular Medicine business Postpartum period |
| Zdroj: | Journal of the American College of Cardiology. 77:1763-1777 |
| ISSN: | 0735-1097 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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