Comprehensive Anaesthetic Management of Parturient Women with Peripartum Cardiomyopathy: A Multidisciplinary Approach

Abstract

Background:

Peripartum cardiomyopathy (PPCM) is an extreme type of coronary heart failure that occurs during the 9th month of pregnancy or up to 5 months after delivery; it imposes stern requirements for anesthetic management. This narrative bibliography aims towards an updated source of knowledge on the anesthetic concerns and the handling techniques for the parturient ladies diagnosed with PPCM particularly hoping to enhance the maternal as well as the fetal outcomes through interdisciplinary care.

Objectives:

To identify the primary issues in the peripartum period, which involves two sections including the assessment in peripartum period following evaluation of present guidelines and improvement in present enhancements of outcomes in discipline of anesthesiology and cardiology regarding PPCM.

Methods:

A specific literature review was conducted in the area of research, scientific initiatives and professional opinions up to and including 2024. Health information databases including PubMed, Scopus, as well as current medical guidelines have been systematically searched to obtain the most updated information on the management of PPCM.

Results:

The review identifies important steps for the control of PPCM, inclusive of:

1. Preoperative Assessment: Concentrating on comprehensive cardiologic appraisal, including with the help of a cross-functional team, echo-cardiography, serum and biomarkers analysis and comprehensive records ad Infinitum.


2. Anesthetic Strategies: Subcutaneous and general anesthesia seem to be less advantageous compared to regional anesthesia, since the latter helps maintain the patient’s blood pressure levels. This paper presents various speculations on approving the relief of exertions pupils’ analgesia and probing the decision-making process regarding the mode of delivery.


3. Intraoperative and Postpartum Management: Suggestions for further patient surveillance and monitoring of the volume of fluid status as well as recommendations concerning the use of inotropes and vasopressors. Stemming from postpartum care, initial risks inclusive of arrhythmias and coronary heart failure deterioration is detected early with follow-ups provided by both the cardiologists and obstetricians.

Conclusion:

Hence, the use of this optimised approach to parturient ladies with PPCM involves a mixed research, advanced Cardiac Care alongwith anesthetic perception to follow an evidence based approach. It is crucial to admit that future research should address existing deficiencies in information, primarily, the creation of new therapeutic approaches and the use of effective monitoring tools to increase patients’ outcomes.