Pregnancy in patients with heart disease

Abstract

The care of patients with heart disease has made great strides in recent decades. Despite the reduction in morbidity, pregnancy in this group represents an important cause of maternal mortality and worse fetal prognosis, even in developed countries. Obstetric follow-up of these patients needs to be individualized according to maternal risk stratification. A few randomized clinical trials have been conducted, and most are based on retrospective studies. For this article, we conducted a literature review to support the best practices in multidisciplinary care during the puerperal pregnancy cycle of patients with heart disease.