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Valvular Disease: Specific Considerations for Management During Labor and Delivery 

Valvular Disease: Specific Considerations for Management During Labor and Delivery
Chapter:
Valvular Disease: Specific Considerations for Management During Labor and Delivery
Author(s):

Shobana Chandrasekhar

, and C. LaToya Mason

DOI:
10.1093/med/9780190226459.003.0050
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date: 21 September 2020

Cardiovascular disease is a leading cause of maternal morbidity and mortality worldwide. Complex valvular heart disease accounts for approximately 30% to 50% of all cardiac diseases of pregnancy and presents significant challenges to the management of the parturient affected by it. Determination of disease severity and maternal risk assessment are especially important to development of appropriate plans of care for the labor, delivery, and immediate postpartum periods, when adverse events for both mother and fetus may occur. An understanding of the pathophysiology of the causative lesions and hemodynamic goals, thorough evaluation, and a multidisciplinary approach are key components to the successful management of these patients, allowing for appropriate selection of an anesthetic technique that balances the benefits and consequences to both mother and infant, thereby leading to optimal patient outcomes.

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