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Pregnancy and heart disease

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Maternal heart disease has emerged as a major threat to safe motherhood and women`s long-term cardiovascular health. In the United States, disease and dysfunction of the heart and vascular system as “cardiovascular disease” is now the leading cause of death in pregnant women and women in the postpartum period accounting for 4.23 deaths per 100,000 live births, a rate almost twice that of the United Kingdom. The most recent data indicate that cardiovascular diseases constitute 26.5% of U.S. pregnancy-related deaths. Of further concern are the disparities in cardiovascular disease outcomes, with higher rates of morbidity and mortality among nonwhite and lower-income women. Contributing factors include barriers to pre-pregnancy cardiovascular disease assessment, missed opportunities to identify cardiovascular disease risk factors during prenatal care, gaps in high-risk intrapartum care, and delays in recognition of cardiovascular disease symptoms during the puerperium. The purpose of this...