Key result
Multidisciplinary cardio-obstetrics teams optimize high-risk maternal care via preconception counseling and perinatal planning.
Multidisciplinary cardio-obstetrics teams play a crucial role in preconception counseling, prenatal and postpartum care, and emergent management for pregnant patients with cardiac disease.
Captured external expert commentary on this paper, strongest first. Original sources are linked where available.
“As integral members of the multidisciplinary cardio-obstetric team, APPs can enhance access to care, facilitate risk stratification and care coordination, expand patient education and remote monitoring, and help close critical gaps in care that influence cardiovascular (CV) outcomes in pregnant p...”
Supports multidisciplinary cardio-obstetrics teams in high-risk pregnancies; leaves open confirmation of morbidity reduction in prospective trials.
The field of Cardio-Obstetrics is focused on mitigating cardiovascular risk among pregnant and post-partum individuals. Due to the complexity of caring for pregnant people with acquired or congenital cardiac disease, patients with these conditions are increasingly managed in multidisciplinary Cardio-Obstetrics teams, which are now considered essential to optimize maternal care in high-risk patients. Cardio-Obstetrics teams are composed of multiple subspecialists and have at least three roles: 1. provide preconception counseling and risk stratification to patients with known cardiac disease, 2. organize prenatal and postpartum care for patients who develop or present with cardiac disease during pregnancy, and 3. plan for emergent care for patients whose pregnancy "unmasks" cardiac disease, whether acquired disease or an unknown ACHD. Here we describe our experience at Einstein/Montefiore to aid other institutions in developing their own programs.
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Wolfe et al. (2024) conducted a review in Cardiovascular disease in pregnancy and post-partum. Multidisciplinary Cardio-Obstetrics teams was evaluated. Multidisciplinary Cardio-Obstetrics teams optimize maternal care in high-risk patients by providing preconception counseling, organizing perinatal care, and planning for emergent cardiac issues.
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