Key result
Optimal obstetric analgesia and anesthesia in heart disease require understanding pregnancy and cardiac pathophysiology.
A comprehensive understanding of pregnancy physiology and underlying cardiac pathophysiology is essential for providing optimal obstetric analgesia and anesthesia in parturients with cardiac disease.
Requires integration of cardiac physiology into obstetric anesthesia protocols; leaves open validation through dedicated clinical 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) conducted a review in Maternal heart disease in pregnancy. Obstetric analgesia and anesthesia was evaluated. A comprehensive understanding of pregnancy physiology and cardiac pathophysiology is essential for providing optimal obstetric analgesia and anesthesia in parturients with heart disease.
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