TY - JOUR

T1 - Methods and considerations concerning cardiac output measurement in pregnant women

T2 - recommendations of the International Working Group on Maternal Hemodynamics

AU - The International Working Group on Maternal Hemodynamics

AU - Bijl, R. C.

AU - Valensise, H.

AU - Novelli, G. P.

AU - Vasapollo, B.

AU - Wilkinson, I.

AU - Thilaganathan, B.

AU - Stöhr, E.

AU - Lees, C.

AU - van der Marel, C. D.

AU - Cornette, J. M.J.

AU - Cockcroft, J.

AU - Duvekot, J. J.

AU - Ferrazzi, E.

AU - Foo, F. L.

AU - Ghossein-Doha, C.

AU - Gyselaers, W.

AU - Khalil, A.

AU - McEniery, C. M.

AU - Meah, V.

AU - Spaanderman, M.

AU - Tay, J.

N1 - Funding Information: We thank PULSION Medical Systems SE, Uscom Limited, Innovision, Manatec Biomedical and Edwards Lifesciences Corporation for kindly providing images to illustrate this paper.

PY - 2019/7

Y1 - 2019/7

N2 - Cardiac output (CO), along with blood pressure and vascular resistance, is one of the most important parameters of maternal hemodynamic function. Substantial changes in CO occur in normal pregnancy and in most obstetric complications. With the development of several non-invasive techniques for the measurement of CO, there is a growing interest in the determination of this parameter in pregnancy. These techniques were initially developed for use in critical-care settings and were subsequently adopted in obstetrics, often without appropriate validation for use in pregnancy. In this article, methods and devices for the measurement of CO are described and compared, and recommendations are formulated for their use in pregnancy, with the aim of standardizing the assessment of CO and peripheral vascular resistance in clinical practice and research studies on maternal hemodynamics.

AB - Cardiac output (CO), along with blood pressure and vascular resistance, is one of the most important parameters of maternal hemodynamic function. Substantial changes in CO occur in normal pregnancy and in most obstetric complications. With the development of several non-invasive techniques for the measurement of CO, there is a growing interest in the determination of this parameter in pregnancy. These techniques were initially developed for use in critical-care settings and were subsequently adopted in obstetrics, often without appropriate validation for use in pregnancy. In this article, methods and devices for the measurement of CO are described and compared, and recommendations are formulated for their use in pregnancy, with the aim of standardizing the assessment of CO and peripheral vascular resistance in clinical practice and research studies on maternal hemodynamics.

KW - cardiac MRI

KW - cardiac output

KW - impedance cardiography

KW - inert-gas rebreathing technique

KW - pregnancy

KW - pulmonary artery catheter

KW - pulse-contour analysis

KW - transthoracic echocardiography

UR - http://www.scopus.com/inward/record.url?scp=85069443068&partnerID=8YFLogxK

U2 - 10.1002/uog.20231

DO - 10.1002/uog.20231

M3 - Article

C2 - 30737852

AN - SCOPUS:85069443068

VL - 54

SP - 35

EP - 50

JO - Ultrasound in Obstetrics and Gynecology

JF - Ultrasound in Obstetrics and Gynecology

SN - 0960-7692

IS - 1

ER -