Cardionerds: A Cardiology Podcast 433. The Evolution and Future of Cardio-Obstetrics with Dr. Afshan Hameed, Dr. Doreen DeFaria Yeh, Dr. Garima Sharma, and Dr. Rina Mauricio
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Nov 5, 2025 Join four leading experts in cardio-obstetrics as they redefine care for women from preconception to postpartum. Dr. Rina Mauricio highlights the importance of proper counseling for patients with existing heart conditions. Dr. Afshan Hameed discusses historical maternal mortality and the need for collaborative care. Dr. Doreen DeFaria Yeh shares insights on managing complex pregnancies with congenital heart disease. Lastly, Dr. Garima Sharma emphasizes the necessity of equitable access to care, including telemedicine and community screenings, to prevent gaps in maternal healthcare.
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ACHD Shaped Pregnancy Cardiac Care
- Adult congenital heart disease (ACHD) care historically incorporated pregnancy and family planning as core elements.
- ACHD taught nuance in managing multiple comorbidities and abnormal anatomy during pregnancy.
Assemble A True Multidisciplinary Team
- Build multidisciplinary teams around each patient including cardiology, MFM, pharmacists, anesthesia, and navigators.
- Individualize risk assessment and shared decision-making when scores don't capture unique pregnancy risks.
Use Telemedicine And Regional Triage
- Use telemedicine and regional transfer pathways to bridge maternity deserts and rural gaps.
- Train local providers and create triage systems so high‑risk patients reach higher‑level centers promptly.
