Program


Cardiac obstetric nursing: A growing need for a growing population

May 24, 2024 from 11:00am MDT to 11:15am MDT

The Cardiac Obstetric Clinic (COB) at St. Paul’s Hospital provides cardiac specific care to pregnant patients in British Columbia. At its inception, the clinic was designed to support adults with cardiac congenital conditions through pregnancy. However, the volume of patients with acquired heart disease, and cardio-genetic conditions now exceeds that of those with congenital heart disease (CHD). The number of pregnant individuals with cardiovascular conditions is increasing. This is a direct result of increased survival among those with CHD, and pregnancy in persons of advanced maternal age with existing co-morbid conditions.

COB is a multi-disciplinary clinic consisting of cardiology, obstetrics, nursing, social work and other consultant care providers. While nurses have been identified as an important part of Cardiac Obstetric teams, there is minimal literature on nursing roles away from direct care. Cardiac-obstetric patients have unique needs in pregnancy and the early postpartum period, when compared to others with Acute Coronary Syndrome (ACS), heart failure, and cardiac surgery.

The COB clinic developed a shared nursing model to meet the needs of this specialty population. Nursing care is provided by an obstetrical complex care planner and cardiac nurse through in person clinic visits, virtual care and telephone support.

As we refine our approach, we introduced cardiac-specific discharge teaching on maternity, discharge materials tailored to postpartum, and individualized prenatal education for those with moderate or high-risk cardiac obstetrical care plans.

Pregnant patients with cardiac disease is a growing population who warrant more research to understand how to better meet their needs.

Speakers / Panelists