Cardiac disease in pregnancy labor and delivery

Cardiac disease in pregnancy Microchapters
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Overview
Pathophysiology
Epidemiology and Demographics
Risk Factors
Diagnosis
History and Symptoms
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Catheterization: Pulmonary artery catheterization Cardiac catheterization Cardiac Ablation
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Cardiovascular Drugs in Pregnancy
Labor and delivery
Resuscitation in Late Pregnancy
Contraindications to pregnancy
Special Scenarios: I. Pre-existing Cardiac Disease: Congenital Heart Disease Repaired Congenital Heart Disease Pulmonary Hypertension Rheumatic Heart Disease Connective Tissue Disorders II. Valvular Heart Disease: Mitral Stenosis Mitral Regurgitation Aortic Insufficiency Aortic Stenosis Mechanical Prosthetic Valves Tissue Prosthetic Valves III. Cardiomyopathy: Dilated Cardiomyopathy Hypertrophic Cardiomyopathy Peripartum Cardiomyopathy IV. Cardiac diseases that may develop During Pregnancy: Arrhythmias Acute Myocardial Infarction Hypertension
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

The preferred route of delivery is vaginal, but a C-section may be required in some cases.

Indications for C-Section

• Traditional obstetric indications
• Warfarin anticoagulation
• Severe pulmonary hypertension
• In the presence of fixed obstructive congenital lesions sudden BP changes may be dangerous
• Unstable aorta, for instance in the Marfan's syndrome patient if the aorta is >40 mm or is increasing in size during pregnancy.