Pregnancy, Labor, Delivery and Postpartum Care in Women with Cardiovascular Disease

Pregnancy, Labor and Delivery, and Postpartum Care in Women with Cardiovascular Disease Guest: Carl Rose, M.D. Guest: Katie Young, M.D. Guest: Katherine Arendt, M.D. Host: Marysia Tweet, M.D., M.S. Where patients deliver babies matters, particularly for women with cardiac disease. In this episode, Dr. Marysia Tweet interviews three experts on CVD, OB, and anesthesia. High-risk centers provide 24/7 in-house obstetric anesthesia and multidisciplinary resources that support anticipatory planning and rapid response to obstetric, cardiovascular, and anesthesia emergencies during labor and delivery. Whenever possible, cardiac obstetric patients should be managed by a multidisciplinary Pregnancy Heart Team from preconception to delivery to optimize planning and outcomes. Topics Discussed: • Role of an obstetric anesthesiologist on a labor and delivery unit • Coordination of cardiology, OB anesthesia, MFM, and nursing care during labor and delivery • Cardiac indications for assisted vaginal delivery and cesarean delivery • Telemetry and ICU level monitoring postpartum 0:00 Introduction to Cardio Obstetrics Topic 1:59 Role of Obstetric Anesthesiologist 4:57 When to Involve Anesthesia Team 10:29 Monthly Pregnancy Heart Team Meetings 12:57 Anticoagulation and Epidural Planning 14:14 Assisted Vaginal Delivery Explained 14:49 When Cesarean Delivery Is Needed 16:07 Anesthesia Considerations During Labor 17:48 Highest-Risk Cardiac Conditions in Pregnancy 23:43 Pulmonary Hypertension Delivery Challenges 24:16 Final Takeaways From the Team 27:19 Cardiovascular Education Course Information