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Antepartum Management of Women with Cardiovascular Disease

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Maternal and Fetal Cardiovascular Disease

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Abstract

Cardiac disease is a major cause of maternal death. The number of such cardiac patients at risk is expected to grow. Women with pulmonary hypertension, severe left ventricular outflow stenosis, cyanotic congenital heart disease, aortic root dilatation, cardiac dysfunction, and mechanical valves have a high risk. The most frequent complications during pregnancy and delivery are heart failure and arrhythmias. Risk stratification for pregnancy and heart disease relates to the functional status of the patient and is lesion specific. Timely prepregnancy counseling should be offered to all women with heart disease in order to prevent avoidable pregnancy-related risks. Adequate care during pregnancy, delivery, and the postpartum period requires a multidisciplinary team approach with cardiologists, obstetricians, and anesthesiologists and other related disciplines. Successful pregnancy is feasible for most women with heart disease with a relatively low risk when appropriate counseling and optimal care are provided.

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Author information

Authors and Affiliations

  1. Cardiovascular Center, St Luke’s International Hospital, Chuo-ku, Tokyo, Japan

    Koichiro Niwa

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  1. Koichiro Niwa
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Correspondence to Koichiro Niwa .

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Editors and Affiliations

  1. Department of Obstetrics and Gynecology, Mie University Graduate School of Medicine, Tsu, Mie, Japan

    Tomoaki Ikeda

  2. Department of Perinatology and Gynecology, National Cerebral and Cardiovascul Center, Suita, Osaka, Japan

    Chizuko Aoki-Kamiya

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Niwa, K. (2019). Antepartum Management of Women with Cardiovascular Disease. In: Ikeda, T., Aoki-Kamiya, C. (eds) Maternal and Fetal Cardiovascular Disease. Springer, Singapore. https://doi.org/10.1007/978-981-10-1993-7_1

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  • DOI: https://doi.org/10.1007/978-981-10-1993-7_1

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-1991-3

  • Online ISBN: 978-981-10-1993-7

  • eBook Packages: MedicineMedicine (R0)

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