19. Obstetrics
The power of modern medicine can never be understated: Source: CDC, Public domain, via Wikimedia Commons. 19.1 Introduction When a patient is planning to become pregnant Start folate supplementation (0.4…
OBSTETRICS
Cardiovascular Symptoms: Is It Pregnancy or the Heart?
6 Cardiovascular Symptoms: Is It Pregnancy or the Heart? Melissa Perez and Afshan B. Hameed Key Points •Obstetric care providers should be able to differentiate common complaints of…
Arrhythmias in Pregnancy
16 Arrhythmias in Pregnancy Dana Senderoff Berger and Lee Brian Padove Key Points •Only 10% of symptomatic episodes of palpitations in pregnancy are due to an arrhythmia •Premature…
Cardiopulmonary Resuscitation in Pregnancy
21 Cardiopulmonary Resuscitation in Pregnancy Lauren A. Plante Key Points •Maternal cardiac arrest occurs in 8–8.5 per 100,000 delivery hospitalizations •Manual chest compressions with rescue breaths is inherently…
Vascular Disease and Dissection in Pregnancy
13 Vascular Disease and Dissection in Pregnancy Melinda B. Davis Key Points •Pregnancy increases the risk or aortic dissection by 25-fold above the baseline for the general population…
Endocarditis in Pregnancy
18 Endocarditis in Pregnancy Ann K. Lal and Thaddeus P. Waters Key Points •In pregnancy, the most common risk factors for infective endocarditis (IE) are intravenous drug use…
The Cardio-Obstetric Team
2 The Cardio-Obstetric Team Diana S. Wolfe Key Points •Care of a pregnant woman with cardiac disease requires collaboration between various disciplines •The multidisciplinary team bridges the gap…
Cardiac Diagnostic Testing in Pregnancy
7 Cardiac Diagnostic Testing in Pregnancy Edlira Tam and Cynthia Taub Key Points •Cardiac complications in pregnant women with heart disease occur in 16% of pregnancies and are…
Burden of Cardiovascular Disease
1 Burden of Cardiovascular Disease Diana S. Wolfe, Afshan B. Hameed, and Elliott Main Key Points •The United States is one of eight countries in the world with…
Thromboembolism and Amniotic Fluid Embolism
17 Thromboembolism and Amniotic Fluid Embolism Arthur J. Vaught Key Points •Pulmonary embolism accounts for 10% of maternal deaths •The gold standard for diagnosis of pulmonary embolism in…