American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Jan 2020
Planned vaginal delivery and cardiovascular morbidity in pregnant women with heart disease.
Although consensus guidelines on the management of cardiovascular disease in pregnancy reserve cesarean delivery for obstetric indications, there is a paucity of data to support this approach. ⋯ These findings suggest that cesarean delivery does not reduce adverse cardiovascular outcomes and lend support to a planned vaginal birth for the majority of women with cardiovascular disease including those with high-risk disease.