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Recording available 2/16-5/2
Recording available 2/16-5/2
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Abstract Award
Abstract Award
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Poster Session 4

Category: Medical/Surgical/Diseases/Complications

Poster Session 4

(1279) Maternal and Neonatal Outcomes in Pregnant Women with Cardiac Disease: Specialized Versus General Obstetric Care

Thursday, February 12, 2026
3:30 PM - 5:00 PM  

    Coauthor(s)

  • EH

    Eli Heifetz, PhD

    The Jerusalem College of Technology
    jerusalem, Yerushalayim, Israel

  • MB

    Maayan Y. Bas-Lando, MD

    Department of Obstetrics and Gynecology Shaare Zedek Medical Center in Jerusalem Affiliated with the Hebrew University School of Medicine
    Shaare Zedek Medical Center, Department of Obstetrics and Gynecology, 12 Bayit Street, Jerusalem, Yerushalayim, Israel

  • SH

    Sarit Helman, MD

    Shaare Zedek Medical Center
    shaare zedek medical center, Yerushalayim, Israel

  • Sorina Grisaru-Granovsky, MD, PhD (she/her/hers)

    professor
    Shaare Zedek Medical Centre affiliated with The Hebrew University
    Jerusalem, Yerushalayim, Israel

  • AN

    Amiram Nir, MD

    Shaare Zedek Medical Center
    jerusalem, Yerushalayim, Israel

  • Alexander Ioscovich, MD (he/him/his)

    Deputy director
    Shaare Zedek Medical Center
    jerusalem, Yerushalayim, Israel

    • Submitting Author and Presenting Author(s)

  • Tehila Avitan, MD

    Obstetrics and Gynecology Department, Shaare Zedek Medical Center Affiliated with The Hebrew University
    Jerusalem, Yerushalayim, Israel

Objective:
To assess whether management in a specialized multidisciplinary cardiac-obstetric clinic improves maternal and neonatal outcomes in pregnancies complicated by heart disease, stratified by WHO risk class.

Study Design:
This retrospective cohort included 439 singleton pregnancies with maternal cardiac disease, categorized as WHO class I-II or >II-III. Patients received care in either a dedicated cardiac-obstetric clinic or general obstetric follow-up. Maternal characteristics, labor and delivery data, and maternal and neonatal outcomes were compared using t-tests and Fisher’s exact tests.

Results:
In WHO class I–II pregnancies, patients followed in the specialized clinic were younger (27.9 vs. 30.6 years, p=0.001) and underwent more frequent labor induction (31.6% vs. 18.6%, p=0.018). Fewer required postpartum ICU/CCU admission after vaginal delivery (5% vs. 14%, p=0.049). Rates of maternal cardiac complications and composite maternal adverse outcomes were comparable. Neonatal respiratory complications were more frequent in the specialized group (12.2% vs. 2.1%, p=0.003), while overall composite neonatal outcomes were not significantly different (22.4% vs. 16.2%, p=0.234). In WHO class II–III or IV pregnancies, no significant differences were found in maternal or neonatal outcomes between care settings.

Conclusion:
In WHO I-II pregnancies, specialized cardiac-obstetric care was associated with reduced postpartum critical care needs. Although neonatal respiratory complications were more common in this group, composite neonatal outcomes were comparable. These findings support the role of multidisciplinary care in tailoring management for pregnant women with cardiac disease.