{
    "abstract": "Maternal cardiac disease complicates approximately 1-2% of all pregnancies in the United States. Just as during the antepartum period, in the immediate period surrounding delivery, obstetrical patients with cardiac disease (both congenital and acquired) will have specialized needs, tailored to the patient and her specific lesion. While the basic principles of labor and delivery management protocols are relevant to this subgroup of patients, there are certain areas in which adjustments must be made. These include endocarditis prophylaxis, recent anticoagulation, fluid management, and the need for increased maternal cardiac monitoring. Awareness of the challenges of the intrapartum period combined with a multi-disciplinary approach from anesthesia, cardiology, and the obstetrical provider will optimize the patient for a safe delivery.",
    "authors": [
        {
            "affiliation": "Department of Obstetrics and Gynecology, Columbia University Medical Center, 622 W 168th St, PH-16, New York, NY.",
            "firstname": "Heather",
            "initials": "H",
            "lastname": "Levin"
        },
        {
            "affiliation": "Department of Obstetrics and Gynecology, Columbia University Medical Center, 622 W 168th St, PH-16, New York, NY. Electronic address: apl1@columbia.edu.",
            "firstname": "Anita",
            "initials": "A",
            "lastname": "LaSala"
        }
    ],
    "conclusions": null,
    "copyrights": "Copyright \u00a9 2014 Elsevier Inc. All rights reserved.",
    "doi": "10.1053/j.semperi.2014.04.013",
    "journal": "Seminars in perinatology",
    "keywords": [
        "analgesia",
        "anticoagulation",
        "cardiac disease",
        "cesarean delivery",
        "endocarditis prophylaxis",
        "fluid management",
        "heart",
        "hemodynamic monitoring",
        "hemorrhage",
        "intrapartum",
        "labor",
        "operative delivery",
        "oxygen supplementation",
        "pacemakers/AICD",
        "postpartum",
        "pregnancy",
        "pregnancy physiology"
    ],
    "methods": null,
    "publication_date": "2014-07-20",
    "pubmed_id": "25037514",
    "results": null,
    "title": "Intrapartum obstetric management.",
    "xml": "<Element 'PubmedArticle' at 0x7885071079c0>"
}