Considerations for delivery in pregnancies complicated by maternal hypertrophic obstructive cardiomyopathy.
We present the management of a pregnancy complicated by maternal hypertrophic obstructive cardiomyopathy (HOCM), an uncommon but significant cardiac lesion. While it is accepted practice to manage such cases in a tertiary setting with multidisciplinary involvement, we reflect that the ultimate management of the birth should centre on obstetric principles. A discussion and literature review of HOCM, pregnancy and anaesthetic management is provided.
Matthews
Tom
T
King Edward Memorial Hospital for Women, The University of Western Australia, Perth, Western Australia, Australia.
Dickinson
Jan E
JE
D000328:Adult; D000773:Anesthesia, Obstetrical / Q000379:methods*; D001315:Australia; D002312:Cardiomyopathy, Hypertrophic / Q000175:diagnosis*; D002585:Cesarean Section / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005865:Gestational Age; D006801:Humans; D010298:Parity; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*; D011256:Pregnancy Outcome; D018566:Pregnancy, High-Risk; D011295:Prenatal Care; D018570:Risk Assessment