Antenatal care in cardiac disease

Question 1

Preconception in cardiac disease

Answer 1

• Optimize cardiac function
• Risk of death 5%
• Risk of transmission depends on specific heart condition

Question 2

Antenatal care of cardiac disease

Answer 2

• Check for SOB/palpitations
• Check for exercise tolerance
• Aggressive to treat infections
• Listen to lungs/heart
• Check for oedema
• Check for pulse irregularity (consider atenolol or digoxin)
• Every two to four weeks until 20 weeks, then every two weeks until 24 weeks, and then weekly thereafter