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)
Authors' conclusion
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.
Study context
- Population
- Pregnant women with congenital or acquired cardiovascular disease undergoing cesarean delivery at a tertiary-care university hospital
- Participants
- 283 women
- Exposure
- Cardiac vs non-cardiac anesthesiologists' care for cesarean delivery
- Cardiac anesthesiologistsn = 42
- Non-cardiac anesthesiologistsn = 241reference
- Outcome
- Maternal perioperative outcomes (HF)
Methodological detailssingle-centre, tertiary-care university hospital
- Single-centre
- Tertiary-care university hospital
Main finding
As reported in the abstract
Heart failure
P = 0.418
- Heart failure in the whole cohort
- 4.6%
Observational data: associations, not effects.
Further findings
Arterial line placement
P = 0.005
Central line placement
P = 0.002
Baseline cardiovascular risk (NYHA class III, ASA IV, modified WHO class IV)
- Higher baseline risk in Cardiac anesthesiologists group (all P ≤ 0.010)
Original publication
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). Int J Obstet Anesth. Published 1 August 2026. doi:10.
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