Obstetric Anesthesia and Heart Disease: Practical Clinical Considerations.

Journal Article (Journal Article;Review)

Maternal morbidity and mortality as a result of cardiac disease is increasing in the United States. Safe management of pregnancy in women with heart disease requires appropriate anesthetic, cardiac, and obstetric care. The anesthesiologist should risk stratify pregnant patients based upon cardiac disease etiology and severity in order to determine the appropriate type of hospital and location within the hospital for delivery and anesthetic management. Increased intrapartum hemodynamic monitoring may be necessary and neuraxial analgesia and anesthesia is typically appropriate. The anesthesiologist should anticipate obstetric and cardiac emergencies such as emergency cesarean delivery, postpartum hemorrhage, and peripartum arrhythmias. This clinical review answers practical questions for the obstetric anesthesiologist and the nonsubspecialist anesthesiologist who regularly practices obstetric anesthesiology.

Full Text

Duke Authors

Cited Authors

  • Meng, M-L; Arendt, KW

Published Date

  • July 1, 2021

Published In

Volume / Issue

  • 135 / 1

Start / End Page

  • 164 - 183

PubMed ID

  • 34046669

Pubmed Central ID

  • PMC8613767

Electronic International Standard Serial Number (EISSN)

  • 1528-1175

Digital Object Identifier (DOI)

  • 10.1097/ALN.0000000000003833


  • eng

Conference Location

  • United States