Planned vaginal delivery and cardiovascular morbidity in pregnant women with heart disease.

ABSTRACT:

Background

Although consensus guidelines on the management of cardiovascular disease in pregnancy reserve cesarean delivery for obstetric indications, there is a paucity of data to support this approach.

Objective

The objective of the study was to compare cardiovascular and obstetric morbidity in women with cardiovascular disease according to the plan for vaginal birth or cesarean delivery.

Study design

We assembled a prospective cohort of women delivering at an academic tertiary care center with a protocolized multidisciplinary approach to management of cardiovascular disease between September 2011 and December 2016. Our practice is to encourage vaginal birth in women with cardiovascular disease unless there is an obstetric indication for cesarean delivery. We allow

SUBMITTER: Easter SR 

PROVIDER: S-EPMC6990137 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature