436340
Heart Disease: Antenatal
- Assessment
by Multidisciplinary
Team
- obstetricians,
cardiologists and
anaesthetists
- neonatologists
- midwife still important as many
women can still go on to have
normal uncomplicated births
- midwife still important as many
women can still go on to have
normal uncomplicated births
- neonatologists
- obstetricians,
cardiologists and
anaesthetists
- care arranged at
general hospital or
tertiary unit
- should have
facilities relative
to severity of
condition
- should have
facilities relative
to severity of
condition
- Risk assessment
- maximise patient wellbeing and
choice while reducing likelihood of
poor outcomes for woman and staff
- define content
and frequency of
care
- define content
and frequency of
care
- maximise patient wellbeing and
choice while reducing likelihood of
poor outcomes for woman and staff
- Immigrants
presenting
symptoms
should have
detailed
screening
- 25% of mothers not from UK
- many countries do not offer routine
screening in childhood. May have
undiagnosed heart condition
- many countries do not offer routine
screening in childhood. May have
undiagnosed heart condition
- 25% of mothers not from UK
- Mothers with
congenital Heart
problems
- offered fetal
echocardiography
- offered fetal
echocardiography
- Develop more
specialist care
units
- high level surrveilance
- prevent deterioration
- recognise heart
failure and arrhytmias
- recognise heart
failure and arrhytmias
- prevent deterioration
- plan delivery
- obstetric unit
- HDU, NNU
- Consider mode of delivery
- C/S? Induction
- Appropriate level of analgesia
- Appropriate level of analgesia
- C/S? Induction
- Consider mode of delivery
- HDU, NNU
- obstetric unit
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