This review highlights the importance of multidisciplinary care and understanding of maternal physiology for providing obstetric analgesia to pregnant women with cardiac disease.
Multidisciplinary care may benefit obstetric analgesia in cardiac pregnancies; leaves open need for prospective outcome trials.
Maternal heart disease complicates 0.2-3% of pregnancies. The optimal management of the pregnant patient with cardiac disease depends on the cooperative efforts of the obstetrician, the cardiologist and the anesthesiologist involved in peripartum care. A comprehensive understanding of physiology of pregnancy and pathophysiology of underlying cardiac disease is of primary importance in provision of obstetric analgesia or anesthesia for this high-risk group of patients. This article will review the current guidelines and standards pertinent to management of obstetric analgesia and anesthesia in parturients with cardiac disease.
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Krzysztof M. Kuczkowski (2004) studied this question.
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