Pre-conception counselling in women with heart disease - we need to do better
Sep 10, 2024
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Maggie Simpson, a researcher from Glasgow, dives into her groundbreaking study on pre-conception counselling for women with heart disease. She reveals that only 10% of these women receive essential guidance, exposing alarming gaps in care. The discussion highlights critical maternal mortality rates and the need for better communication from healthcare providers. Simpson advocates for improved resources and guidelines, emphasizing that proactive counseling can significantly enhance outcomes for both mothers and children. The conversation sheds light on the importance of prioritizing heart health in family planning.
The podcast highlights the alarming gap in pre-conception counseling for women with heart disease, with only 10% receiving necessary discussions about pregnancy risks.
It emphasizes the urgent need for improved awareness and collaboration among healthcare professionals to ensure comprehensive care for women during their reproductive years.
Deep dives
Current Challenges in Maternal Cardiology
Heart disease has been identified as the leading cause of maternal death in the UK for over two decades, highlighting a critical need for improved care for women with cardiovascular issues. Despite guidelines suggesting that women of reproductive age attending cardiology clinics should receive preconception counseling, many women report having these conversations only after becoming pregnant. The study emphasizes the gap in counseling practices, revealing that only about 10% of eligible women received documented discussions regarding pregnancy risks. The experiences of women frequently indicate a lack of awareness among healthcare professionals about the cardiovascular implications related to pregnancy.
Study Findings and Methodology
The study surveyed women aged 18 to 45 across two health boards in Scotland who attended cardiology clinics, focusing on their preconception counseling experiences. Researchers reviewed clinic letters and documented the frequency and nature of pregnancy-related discussions, revealing that discussions mainly centered on maternal medication risks rather than comprehensive pregnancy counseling. Findings showed that younger women, particularly those classified in lower-risk categories, received significantly less counseling compared to higher-risk groups, despite clear recommendations from clinical guidelines. These results underline an urgent need for better documentation and proactive discussions regarding maternal cardiovascular health.
Path to Improvement and Available Resources
To enhance preconception counseling, the study underscores the need for greater awareness of maternal cardiovascular risks among both healthcare professionals and potential mothers. Various resources and guidelines have been developed in response to these gaps, with organizations actively working to streamline referral pathways and provide thorough information for both clinicians and patients. The importance of collaborative approaches between specialties is stressed, ensuring that women can access the comprehensive care necessary throughout their reproductive years. Numerous supportive resources are available, including updated guidelines and patient information from recognized health organizations, aimed at better preparing women with heart conditions for pregnancy.
In this episode of the Heart podcast, Digital Media Editor, Professor James Rudd, is joined by Maggie Simpson from Glasgow. They discuss her study about the rate of pre-conception counselling in women with heart disease. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 or wherever you get your podcasts - it's really helpful.