Abstract
We review recent literature regarding coronary artery disease in pregnant women or women desiring pregnancy. This includes preconception counseling, prenatal care, labor and delivery, management of acute events in pregnancy, and postpartum care. The pregnancy outcomes for women with coronary artery disease and their babies correlate with the degree of recovery from the initial event, coronary revascularization, and current maternal cardiac status. Preconception care includes assessment of cardiac function and management of cardiac medications. Prenatal care includes monitoring for recurrent events and planning for delivery. Delivery planning includes minimizing cardiac ischemia during labor, monitoring for cardiac events, and modifying medications. Postpartum care consists of assessing for recurrent events, assessing medications for compatibility with lactation, and contraception counseling. Management is optimized when performed by an interdisciplinary team including Obstetrics, Maternal-Fetal Medicine, Cardiology, and Anesthesiology.
Published Version
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