Management of cardiac arrest in pregnancy

Nov 8, 2017 by in OBSTETRICS Comments Off on Management of cardiac arrest in pregnancy

Cardiac arrest in pregnancy is a rare event in routine obstetric practice, but is increasing in frequency. Resuscitation of cardiac arrest is more complex for pregnant women because of a…

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Obstetric anaesthesia and peripartum management

Nov 8, 2017 by in OBSTETRICS Comments Off on Obstetric anaesthesia and peripartum management

Anaesthetists play a key role in the management of parturients with cardiac disease. Pregnant women with cardiac disease should be seen antenatally in a high-risk obstetric anaesthesia clinic, and a…

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Pregnancy and pulmonary hypertension

Nov 8, 2017 by in OBSTETRICS Comments Off on Pregnancy and pulmonary hypertension

Pulmonary hypertension during pregnancy is associated with considerable risks of maternal mortality and morbidity. Our systematic review of the literature on the use of targeted treatments for pulmonary arterial hypertension…

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Heart disease in pregnancy: Ischaemic heart disease

Nov 8, 2017 by in OBSTETRICS Comments Off on Heart disease in pregnancy: Ischaemic heart disease

Coronary artery disease and in particular acute coronary syndromes in pregnancy are increasing with high risk of mortality and significant morbidity. Whilst women with atherosclerotic risk factors are at greater…

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Aorta pathology and pregnancy

Nov 8, 2017 by in OBSTETRICS Comments Off on Aorta pathology and pregnancy

In addition to the haemodynamic changes in pregnancy, hormones also induce changes in the aortic wall. Women with diseases like Marfan syndrome, Ehlers–Danlo syndrome, or other aortic abnormalities, have an…

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Thromboembolism in pregnancy: Challenges and controversies in the prevention of pregnancy-associated venous thromboembolism and management of anticoagulation in women with mechanical prosthetic heart valves

Nov 8, 2017 by in OBSTETRICS Comments Off on Thromboembolism in pregnancy: Challenges and controversies in the prevention of pregnancy-associated venous thromboembolism and management of anticoagulation in women with mechanical prosthetic heart valves

Thromboembolism in pregnancy is an important clinical issue. Despite identification of maternal and pregnancy-specific risk factors for development of pregnancy-associated venous thromboembolism, limited data are available to inform on optimal…

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Valvular heart disease in pregnancy

Nov 8, 2017 by in OBSTETRICS Comments Off on Valvular heart disease in pregnancy

In women with valvular heart disease, pregnancy-associated cardiovascular changes can contribute to maternal, foetal and neonatal complications. Ideally, a woman with valvular heart disease should receive preconception assessment and counselling…

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