70
Treatment
Table 30. HF Management Strategies Across the
Pregnancy Continuum
Preconception
Nonpharmacological
strategies
Preconception genetic counseling and testing for potentially
heritable cardiac conditions.
Use of pregnancy cardiovascular risk tools, and
echocardiography for myocardial structure and function
assessment, to provide information that facilitates informed
counseling.
For women planning a pregnancy, provide personalized
counseling that promotes the autonomy and goals of the
patient (and her partner, as applicable), the patient's ability for
self-care and risk awareness, and ensures adequate psychosocial
support for decision-making.
For women not currently planning a pregnancy but who
might conceive, discuss HF-specific considerations regarding
pregnancy and refer to g ynecolog y or primary care for
contraceptive counseling.
