New ESC Guidelines Aim to Reduce Maternal Deaths from Heart Disease in Pregnancy

New guidelines on managing cardiovascular disease during pregnancy have been released by the European Society of Cardiology (ESC). Published on International Women's Day, they aim to cut maternal deaths linked to heart conditions. The recommendations focus on personalised care and multidisciplinary support for high-risk women. Cardiovascular disease remains the top cause of maternal death worldwide, responsible for 33% of pregnancy-related fatalities. Yet nearly 68% of these deaths could be avoided with better monitoring and expert care. The ESC's guidelines stress the need for Pregnancy Heart Teams—specialists who guide women from preconception through to postpartum.

Pregnancy places extra strain on the heart, which can worsen existing conditions. The rise in cardiovascular issues among pregnant women reflects global trends, including ageing populations and longer survival rates for those with heart problems. The guidelines also highlight a higher risk of postpartum depression in affected mothers, urging mental health support as part of their care. Shared decision-making is central to the new approach. Women are encouraged to work with doctors on birth plans, including delivery timing and method. The goal is to align with wider health targets by reducing complications and saving lives.

The ESC's recommendations provide a structured framework for safer pregnancies in women with heart conditions. By combining specialist care, mental health support, and patient involvement, the guidelines seek to lower risks and improve outcomes. Their release on International Women's Day underscores a commitment to advancing maternal health globally.