Cardiac disease in pregnancy labor and delivery

The preferred route of delivery is vaginal, but a C-section may be required in some cases.

• Traditional obstetric indications
• Warfarin anticoagulation
• Severe pulmonary hypertension
• In the presence of fixed obstructive congenital lesions sudden BP changes may be dangerous
• Unstable aorta, for instance in the Marfan’s syndrome patient if the aorta is >40 mm or is increasing in size during pregnancy.

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