Managing Cardiovascular Complications of Pregnancy
Over the past 30 years, the number of pregnancy-related deaths in the U.S. has more than doubled, from 7.2 women dying per 100,000 live births in 1987 to 16.9 women in 2016. By comparison, on average in high-income countries, 11 women die for every 100,000 live births.
CVD a leading cause of maternal mortality.
There are many reasons why more women die from pregnancy-related causes in the U.S. than in other developed countries; our dysfunctional health care system is, of course, a central problem. But is there more that nurses can do to ensure safe and healthy pregnancies?
“Cardiovascular diseases constitute a leading cause of maternal and fetal mortality in pregnant women… [In recent studies], inadequate peripartum follow-up—such as failure to evaluate new symptoms, reevaluate existing symptoms, or respond to changes without delay—was responsible for between one-quarter and two-thirds of deaths associated with pregnancy-specific cardiovascular diseases.”
That’s from “Gestational Hypertension, Preeclampsia, and Peripartum Cardiomyopathy: A Clinical Review,” in the November issue of AJN. In this CE feature article, Maheu-Cadotte and colleagues at the Université de Montréal provide an update on the current management of gestational hypertension, preeclampsia, and peripartum cardiomyopathy.