Why the study?
Obstetric patients with heart disease challenge anesthesiologists because the hemodynamic burden and hypercoagulable state of pregnancy compromise an already stressed cardiovascular system.
Effective management of obstetric patients with cardiac disease requires tailored anesthesia plans, risk stratification, and intensive postpartum care.
Supports tailored anesthesia in cardiac parturients; Level 5 data leaves open need for prospective validation.
The obstetric patient with heart disease challenges the anesthesiologists' skills. Pregnancy and labor due to hemodynamic burden and the hypercoagulable state compromise an already stressed cardiovascular system. In developed countries, congenital heart disease (CHD) is the most common cause whereas in developing countries, still rheumatic heart disease remains the major concern. Results: Over a period of 6 months, we encountered 30 patients with cardiac disease posted for different obstetric procedures. Anesthesia management was decided according to severity and pathophysiology of cardiac lesion and urgency of procedure. In this article, we have mentioned our experience with cardiac parturients with CHD, rheumatic heart disease, peripartum cardiomyopathy, and Takayasu arteritis. Conclusion: Effective management of obstetric patient with cardiac disease includes antepartum counseling, risk stratification, an optimization, monitoring and tailored anesthesia plan for labor, delivery, and obstetric procedure, and intensive care unit care in the immediate postpartum period.
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Devalkar et al. (2021) studied this question.
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