Maternal outcomes in pregnant women with cardiovascular disease under cardiac versus non-cardiac…

Cohort studyInternational journal of obstetric anesthesia· Aug 2026

Maternal outcomes in pregnant women with cardiovascular disease under cardiac versus non-cardiac anesthesiologists' care: a retrospective cohort study in a tertiary center in Thailand (2016-2023).

Jiratchaya Boondeekul, Aphichat Suphathamwit, William R Camann, Saranya Lertkovit

Cardiac & Thoracic AnesthesiaCohort studyClinical practiceQ2IF 1.7

Cardiac anesthesiologists placed central lines far more often in high-risk cardiac cesareans.

Maternal outcomes in pregnant women with cardiovascular disease under cardiac versus non-cardiac anesthesiologists' care: a retrospective cohort study in a tertiary center in Thailand (2016-2023).

Jiratchaya Boondeekul … Saranya Lertkovit

International journal of obstetric anesthesia · Aug 2026 · Q2 in Anesthesiology

Background

In resource-limited settings with few obstetric anesthesiology specialists, cardiac anesthesiologists may serve as alternative consultants for high-risk pregnancy with cardiovascular disease.

Methods

Were managed by either cardiac anesthesiologists (n = 42) or non-cardiac anesthesiologists (n = 241).

n = 42

Results

cardiac anesthesiologists placed central lines about 10x more often

Cardiac anesthesiologi

7.1%

Non-cardiac anesthesio

4.1%

More results

Patients managed by cardiac anesthesiologists had higher baseline cardiovascular risk, including more New York Heart Association class III, American Society of Anesthesiologists physical status IV, and modified World Health Organization class IV disease (all P ≤ 0.010).

“

Conclusion · 1 of 3

In a tertiary-care setting with a limited obstetric anesthesia subspecialty workforce, cardiac anesthesiologists may contribute to the management of cesarean deliveries in women with cardiovascular disease.

Conclusion · 2 of 3

Cases managed by cardiac anesthesiologists more frequently involved invasive monitoring and general anesthesia, likely reflecting greater clinical complexity.

Conclusion · 3 of 3

Future studies should evaluate whether standardized care pathways and additional training in high-risk obstetric anesthesia can further optimize maternal outcomes.

Maternal outcomes in pregnant women with cardiovascular disease under cardiac versus non-cardiac anesthesiologists' care: a retrospective cohort study in a tertiary center in Thailand (2016-2023).

Maternal outcomes in pregnant women with cardiovascular disease under cardiac versus non-cardiac anesthesiologists' care: a retrospective cohort study in a tertiary center in Thailand (2016-2023).

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