Cardio-Obstetrics
Pregnancy places unique hemodynamic demands on the heart and circulation, making Cardio-Obstetrics a vital field at the interface of cardiology and maternal–fetal medicine. This session focuses on how to evaluate, counsel, and manage women with congenital heart disease, cardiomyopathies, valvular lesions, pulmonary hypertension, arrhythmias, and aortopathies before, during, and after pregnancy. Participants will learn how normal physiological changes in pregnancy affect blood pressure, volume status, and cardiac output, and how these changes can unmask or worsen underlying cardiac conditions. The goal is to build structured pathways that protect both maternal and fetal health while supporting safe, desired pregnancies.
Clinicians increasingly search for a cardiology conference to align cardiology, obstetrics, anesthesia, and neonatology teams. This session reviews risk stratification tools, pre-pregnancy counselling frameworks, and the role of multidisciplinary pregnancy heart teams. Attendees will explore medication adjustments, including which heart failure, anticoagulant, and antihypertensive drugs are safe or contraindicated in pregnancy and lactation. Through case-based discussion, participants will address challenging scenarios such as severe valvular disease, repaired and unrepaired congenital lesions, mechanical valves, and prior peripartum cardiomyopathy.
A central focus is practical pregnancy and heart disease management across all stages of care. Participants will learn how to plan monitoring frequency, timing and mode of delivery, and postpartum surveillance for decompensation or thromboembolic events. The session covers imaging choices, anesthesia considerations, and hemodynamic management in labor and operative settings. Attention is also given to contraception counselling and interpregnancy planning for women with high-risk conditions where future pregnancies may require special precautions or be strongly discouraged.
The session concludes by highlighting health system organization—creating formal cardio-obstetrics clinics, shared protocols, and referral networks that can be accessed by both tertiary centers and community providers. By the end, attendees will understand how to structure coordinated, compassionate care for women with heart disease who are pregnant or planning pregnancy, improving outcomes for mothers and babies alike.
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Physiologic Changes and Risk Assessment
- Understanding how pregnancy-related increases in blood volume, heart rate, and cardiac output affect different cardiac conditions.
- Applying validated risk scores and individualized assessment to categorize maternal and fetal risk before conception or early in pregnancy.
Pre-Pregnancy and Early Pregnancy Counselling
- Providing detailed counselling on expected risks, monitoring plans, and delivery options for women with structural or acquired heart disease.
- Discussing medication adjustments, lifestyle changes, and contraception or alternative family-building options when risk is unacceptably high.
Intrapartum and Delivery Planning
- Coordinating timing, location, and mode of delivery in collaboration with obstetrics, anesthesia, and neonatology teams.
- Preparing hemodynamic and rhythm management strategies tailored to each patient’s cardiac profile during labor and birth.
Postpartum and Long-Term Follow-Up
- Recognizing the high-risk postpartum window for decompensation and thromboembolic events.
- Organizing long-term cardiac follow-up and future pregnancy planning informed by outcomes of the current pregnancy.
Practice and System Advantages
Improved Maternal and Fetal Outcomes
Structured cardio-obstetric pathways reduce mortality, complications, and emergency interventions in high-risk pregnancies.
Coordinated Multidisciplinary Care
Heart teams that include cardiology, maternal–fetal medicine, anesthesia, and nursing ensure unified, consistent plans.
Better Informed Family Planning Decisions
High-quality counselling empowers women to make choices aligned with their values and risk tolerance.
Reduced Unplanned Emergencies
Proactive planning lowers the likelihood of unexpected decompensation or urgent deliveries.
Stronger Referral Networks and Protocols
Clear guidelines help community clinicians know when and how to refer complex cases.
Enhanced Patient Confidence and Experience
Women feel supported and heard throughout pregnancy, delivery, and postpartum recovery.
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