January 1, 2018Circulation Heart Failure
Heart Failure in Pregnant Women
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Key result
Pregnancy-related HF is linked to increased maternal morbidity, with ~60% of cases presenting postpartum.
Population
50,995,050 pregnancy-related hospitalizations among women 13 to 49 years of age in the United States.
Design
Cross-sectional
Follow-up
In-hospital (until discharge)
Authors
Discussion
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Implication
May warrant heightened postpartum HF monitoring; leaves open whether targeted strategies reduce maternal morbidity.
Structured PICO
P
Population
50,995,050 pregnancy-related hospitalizations (antepartum, delivery, and postpartum) among women 13 to 49 years of age in the United States (Nationwide Inpatient Sample 2001-2011).
O
Outcome
In-hospital mortality and heart failure prevalencehard clinical
Heart failure during pregnancy, particularly in the postpartum period, is increasing in prevalence and is associated with a substantially higher risk of severe maternal morbidity and in-hospital mortality.
Limitations
- Unable to assess the degree to which B-type natriuretic peptide was used in the routine evaluation of pregnant patients for HF
Cite This Study
Mogos et al. (2018) studied this question. Heart failure occurs in 112 cases per 100,000 pregnancy-related hospitalizations, with 60% of cases during postpartum, significantly increasing maternal morbidity risks.
Topics
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