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

Journal Article (Journal Article;Review)

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.

Full Text

Duke Authors

Cited Authors

  • Davis, MB; Arendt, K; Bello, NA; Brown, H; Briller, J; Epps, K; Hollier, L; Langen, E; Park, K; Walsh, MN; Williams, D; Wood, M; Silversides, CK; Lindley, KJ; American College of Cardiology Cardiovascular Disease in Women Committee and the Cardio-Obstetrics Work Group,

Published Date

  • April 13, 2021

Published In

Volume / Issue

  • 77 / 14

Start / End Page

  • 1763 - 1777

PubMed ID

  • 33832604

Pubmed Central ID

  • PMC8238394

Electronic International Standard Serial Number (EISSN)

  • 1558-3597

Digital Object Identifier (DOI)

  • 10.1016/j.jacc.2021.02.033


  • eng

Conference Location

  • United States