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Case Report

Antenatal and Intrapartum Management of a Patient with a Pre-existing Myocardial Infarction and Gestational Diabetes Mellitus - Case Report

Sarushen Gounden and Sabaratnam Ganeshananthan

Correspondence Address :

Sabaratnam Ganeshananthan
Department of Obstetrics and Gynaecology
Logan Hospital, Australia
Tel: 422963279
Email: ganeshananthan@gmail.com

Received on: June 01, 2017, Accepted on: July 06, 2017, Published on: July 13, 2017

Citation: Sarushen Gounden, Sabaratnam Ganeshananthan (2017). Antenatal and Intrapartum Management of a Patient with a Pre-existing Myocardial Infarction and Gestational Diabetes Mellitus - Case Report

Copyright: 2017 Sabaratnam Ganeshananthan, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Abstract
Pre-existing cardiac disease in pregnancy poses a significant risk to both the mother and the foetus. Given the trend towards increased maternal age and increased incidence of cardiac risk factors including diabetes, hypertension and obesity; management of cardiac co-morbidities in pregnancy is becoming important to characterise. Here we outline a case covering the antenatal and intrapartum management of a patient with a pre-existing Myocardial Infarct (MI) and stent in pregnancy with Gestational Diabetes Mellitus (GDM). In the absence of unequivocal guidelines concerning antenatal management of pre-existing MI in pregnancy, we approached management using a multidisciplinary approach with involvement of cardiology, obstetrics, paediatrics, endocrinology and anaesthetics, with allied health services.