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- W4385486521 abstract "Pulmonary arterial hypertension (PAH) is a pathological condition characterized by constriction of the distal pulmonary vasculature and resultant right heart remodeling. Despite therapeutic advancements, maternal and fetal mortality and morbidity remain high in patients with PAH, particularly during delivery and the postpartum period. The physiological stress and increased cardiometabolic demands of pregnancy present a unique challenge to the complex physiology of PAH. Given the high risk of maternal mortality and morbidity, international guidelines recommend against pregnancy in patients with PAH. Contraception counseling should be standard of care in reproductive-aged women with PAH. For those who desire pregnancy, it is imperative that they receive preconception counseling prior to pregnancy to discuss the severity of their disease and their individual risks. Furthermore, multidisciplinary care with pulmonary hypertension specialists and high-risk obstetrics/maternal-fetal-medicine specialists during pregnancy and close monitoring at the time of delivery and in the postpartum period can help in preventing and managing complications." @default.
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- W4385486521 date "2023-01-01" @default.
- W4385486521 modified "2023-10-16" @default.
- W4385486521 title "Overview of Pulmonary Arterial Hypertension in Pregnancy" @default.
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- W4385486521 doi "https://doi.org/10.1007/978-3-031-34103-8_22" @default.
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