Khalid Humna, Karishma Fnu, Mumtaz Hassan, Saqib Muhammad, Iftikhar Muhammad, Shahab Ramsha
Bahawalpur Victoria Hospital, Bahawalpur.
Jinnah Sindh Medical University.
Ann Med Surg (Lond). 2023 May 3;85(6):2774-2780. doi: 10.1097/MS9.0000000000000773. eCollection 2023 Jun.
Cardio-obstetrics refers to an approach to maternal care that is based upon teamwork with specialists from maternal-foetal medicine, cardiology, anaesthesiology, neonatology, nursing, social work, and pharmacy that work together to achieve appropriate outcomes for the pregnant patient. The aim of this paper is to highlight and provide a narrative review on the currently published research on the current status and future of cardio-obstetrics. A short review on the hemodynamic physiology in pregnancy has also been described in this paper. The authors have discussed the major risk factors associated with exacerbation of pregnancy and the possible remedies that are currently available in this paper in accordance to the updated research. The cardio-obstetrics team provides advice about healthy pregnancy planning before conception. Proper cardio-obstetric care is associated with better outcomes in women with a high cardiovascular risk with decreased adverse maternal and foetal outcomes. Such care should be given to underserved and marginalized communities with great care as they have largely lacked such care in the past. The authors conclude the paper by recommendations to advance this newly emerging field by way of further scientific research and public awareness. This review can serve helpful to any physician working in the healthcare as well as the public that are interested in awareness about the multidisciplinary needs of pregnant women with cardiovascular disease.
心脏产科是指一种孕产妇护理方法,它基于与母胎医学、心脏病学、麻醉学、新生儿学、护理、社会工作和药学等领域的专家团队合作,共同为孕妇实现适当的治疗效果。本文的目的是突出并对目前已发表的关于心脏产科现状和未来的研究进行叙述性综述。本文还对孕期血液动力学生理进行了简短综述。作者根据最新研究讨论了与孕期病情加重相关的主要危险因素以及目前可用的可能治疗方法。心脏产科团队在受孕前就健康的怀孕计划提供建议。适当的心脏产科护理与心血管风险高的女性更好的治疗效果相关,可降低孕产妇和胎儿的不良结局。对于过去基本缺乏此类护理的服务不足和边缘化社区,应格外谨慎地提供这种护理。作者在论文结尾通过进一步科学研究和提高公众意识的建议来推动这一新兴领域的发展。这篇综述对任何从事医疗保健工作的医生以及对了解患有心血管疾病的孕妇的多学科需求感兴趣的公众都可能有所帮助。