Heart disease in pregnancy: Overview & management
Some of the questions addressed in this presentation
1.What happens to fetal blood pressure during maternal hypotension how good is fetal autoregulation?
2.Why is LSCS increasingly preferred mode of delivery in heart disease complicating pregnancy challenging the traditional scientific concept?
3.What is likely hood of patients with moderate mitral stenosis developing pulmonary edema during prolonged 2nd stage of labor?
4.Is Eisenemneger really an absolute contraindication for pregnancy?
5. How can we continue VKAs warfarin or Acitrom throughout pregnancy? What are the potential problems of double switching one at 6th week from VKA to Heparin and again from heparin to VKA at 12th week?
6. On what evidence base the safety margin of 5mg cutoff for Warfarin and 3mg for Acitorm was decided?
7. Who is insisting on us to do Anti-Xa monitoring for LMWH in pregnancy? Is it really needed? What does the American society of hematology say? (ASH guidelines for VTE in pregancy 2018) Why we don’t insist on Xa estimation in acute coronary syndrome?
8. What is the inflection point of at which risk of termination is almost at equipoise with continuing pregnancy in various heart diseases.
A GIF run-through of the presentation.
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