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The obstetric patient with cardiac disease 

The obstetric patient with cardiac disease
Chapter:
The obstetric patient with cardiac disease
Author(s):

Alistair Macfie

DOI:
10.1093/med/9780199692958.003.0020
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date: 23 September 2019

This chapter discusses the acute management of patients with pregnancy complicated by severe heart disease. It begins by describing the size and significance of the problem, outlines the significant physiological changes of pregnancy and delivery, and discusses the general arrangements that should be in place to support the patient through their pregnancy. It describes the factors that lead to increased maternal risk and general principles of management including multidisciplinary team support and careful planning. It goes on to outline the principles of anaesthetic management of delivery including indications for regional and general anaesthetic techniques, and the care of the mother in the early postpartum period.

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