Overview

• Peripartum Cardiomyopathy → new-onset cardiomyopathy and heart failure within the last month of pregnancy to 5 months post-partum.
  • 40% rise in blood volume during pregnancy. Women with cardiac disease cannot increase cardiac output leading to uterine hypoperfusion and increased pulmonary oedema.

Making Diagnosis

Clinical Features

Investigations

• Echocardiogram → at booking and 28 weeks.

Management Plan

• Anticoagulation → LMWH (warfarin is teratogenic in first trimester).
• Avoid ergometrine in those with cardiac disease.

Complications →

Prognosis →