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
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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Cardio‑Ob Extends Beyond Pregnancy
- Cardio-obstetrics spans preconception, pregnancy, and the postpartum "fourth trimester" and requires multidisciplinary coordination.
- Postpartum care must reconnect patients to cardiology for long-term prevention after pregnancy complications.
Missed Cardiac Diagnoses Drive Maternal Risk
- Maternal mortality reviews revealed cardiovascular disease as the leading non-obstetric cause of maternal death and diagnostic delays.
- Early recognition and routine screening in pregnancy are crucial to reduce missed diagnoses.
Implement Universal Prenatal CV Screening
- Screen all pregnant patients for cardiovascular disease as part of routine prenatal care.
- Use screening to identify undiagnosed congenital disease and cardiovascular risk factors early.
