Maternal Cardiac Care

Obstetric Events That Affect Cardiac Patients

Pregnancy dramatically increases the demands on a woman’s heart. Both stroke volume and cardiac output increase significantly in response to a number of factors, including increased oxygen demands by the growing fetus, the enlarging breasts, and the enlarging uterus; increased…

Cardiac Conditions That May Affect Pregnancy

The pathologic changes that occur in women with cardiac disease may have major implications during pregnancy and delivery. This chapter discusses, in general terms, the potential complications that may occur related to cardiovascular pathology and suggests some management strategies. Between…

Prepregnancy Counseling

Pregnant women with heart disease have an increased risk of both maternal and fetal complications. Given that an estimated 1 million women in the United States have underlying congenital heart disease, the likelihood that a health care provider will care…

Physiologic Adaptations to Pregnancy

For women with cardiac disease, the physiologic changes associated with pregnancy can impact the health of the mother and baby and affect the course of gestation and delivery. Many of these normal changes are driven by hormonal alterations initiated by…