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Abstract：
Cardiovascular disease complicates 1-4% of pregnancies. Women with heart disease going through pregnancy are on the increase. While global maternal deaths during pregnancy are decreasing, India remains a significant contributor to maternal deaths in the world. Cardiovascular disease during pregnancy is the leading cause of maternal mortality in developed nations, and this trend is expected soon in India, with the ongoing obstetric transition. Research in developed nations indicates that a high proportion of maternal mortality related to heart disease is preventable. However, India lacks indigenous data, risk stratification tools, management guidelines, and a well-defined cardio-obstetric team concept for pregnant women with heart disease. There is a pressing need to establish national registries, develop risk stratification tools, develop and disseminate management guidelines, and create dedicated cardio-obstetric programs. This article provides a comprehensive overview of this requirement and offers solutions to bridge the existing gaps in India\'s maternal healthcare landscape.
摘要：
心血管疾病使1-4%的妊娠复杂化。怀孕期间患有心脏病的妇女人数正在增加。虽然全球孕产妇在怀孕期间的死亡人数正在减少，印度仍然是世界上孕产妇死亡的重要贡献者。怀孕期间的心血管疾病是发达国家孕产妇死亡的主要原因，这种趋势预计很快会在印度出现，正在进行的产科过渡。发达国家的研究表明，与心脏病有关的孕产妇死亡率很高是可以预防的。然而,印度缺乏本土数据，风险分层工具，管理指南，以及为患有心脏病的孕妇提供明确的心血管产科团队概念。迫切需要建立国家登记册，开发风险分层工具，制定和传播管理准则，并创建专门的心血管产科项目。本文提供了对这一要求的全面概述，并提供了弥合印度孕产妇医疗保健领域现有差距的解决方案。
