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
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.