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Cardio-obstetrics: Recognizing and managing cardiovascular complications of pregnancy
KEY POINTS
- Several trends are increasing cardiovascular risk in pregnancy. The average maternal age at first pregnancy is increasing, survival in congenital heart disease has improved, and cardiovascular risk factors are developing at younger ages.
- Maternal morbidity and mortality are increasing, with cardiovascular diseases accounting for over one-quarter of peripartum and postpartum deaths.
- Rates of maternal mortality from cardiovascular disease are highest among low-income women and women of color.
- The emergence of new cardiovascular complications during pregnancy is often considered a failed stress test and can increase the risk of future cardiovascular disease.
- Women should be monitored closely after pregnancy in order to improve maternal outcomes and prevent the development of future cardiovascular disease.
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