53
Figure 10. Team-Based Cardio-Obstetrics Model of Care
Cardio-
Obstetrics
Expert
Cardiovascular
Medicine
Other
Specialists
Maternal
Fetal
Medicine
Social Work
Obstetrics
Pharmacy
Primary Care
Nursing
Anesthesiology
Preconception
• Contraception advice
• Optimize medical status
• Medication adjustment
• Risk assessment:
» mWHO
» CARPREG II
» ZAHARA
Postpartum
• Monitoring: minimum
48 hours
• Assess and treat
cardiovascular
complications
• Patient counseling
on symptoms of
complications
Pregnancy
• Team-based care
with patient
• Serial monitoring
• Delivery planning
balancing maternal/
fetal risks
Fourth Trimester
• 3–7 days follow-up
post-discharged
• Comprehensive
evaluation within 6
weeks
• Consider addition of
telehealth visits
• Contraception
Labor/Delivery
• Mode: Vaginal delivery
usually preferred
• Regional anesthesia
• Monitoring: consider
pulse oximetry,
telemetry if indicated
Long-Term
• Identify women with
APO (preeclampsia
and hypertensive
disorders, gestational
diabetes, preterm
delivery, small for
gestational age)
• CVD risk screening
Cardio-Obstetrics
Team and Patient
e cardio-obstetrics model of care involves multiple specialists working together and with
the patient to address issues from preconception, through pregnancy and delivery, and the
postpartum period.
Modified with permission from Davis MB, et al. J Am Coll Cardiol. 2021;77:1763-1777.
Copyright 2021 American College of Cardiolog y Foundation.
