Methods and considerations concerning cardiac output measurement in pregnant women: recommendations of the International Working Group on Maternal Hemodynamics

Research output: Contribution to journalArticleResearchpeer review

Authors

  • The International Working Group on Maternal Hemodynamics
  • R. C. Bijl
  • H. Valensise
  • G. P. Novelli
  • B. Vasapollo
  • I. Wilkinson
  • B. Thilaganathan
  • E. Stöhr
  • C. Lees
  • C. D. van der Marel
  • J. M.J. Cornette

External Research Organisations

  • Erasmus University Rotterdam
  • Tor Vergata University of Rome
  • Policlinico Casilino
  • San Sebastiano Martire Hospital
  • University of Cambridge
  • St George's Healthcare NHS Trust
  • Cardiff Metropolitan University
  • Columbia University Irving Medical Center
  • Imperial College London
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Details

Original languageEnglish
Pages (from-to)35-50
Number of pages16
JournalUltrasound in Obstetrics and Gynecology
Volume54
Issue number1
Publication statusPublished - Jul 2019
Externally publishedYes

Abstract

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.

Keywords

    cardiac MRI, cardiac output, impedance cardiography, inert-gas rebreathing technique, pregnancy, pulmonary artery catheter, pulse-contour analysis, transthoracic echocardiography

ASJC Scopus subject areas

Cite this

Methods and considerations concerning cardiac output measurement in pregnant women: recommendations of the International Working Group on Maternal Hemodynamics. / The International Working Group on Maternal Hemodynamics; Bijl, R. C.; Valensise, H. et al.
In: Ultrasound in Obstetrics and Gynecology, Vol. 54, No. 1, 07.2019, p. 35-50.

Research output: Contribution to journalArticleResearchpeer review

The International Working Group on Maternal Hemodynamics, Bijl, RC, Valensise, H, Novelli, GP, Vasapollo, B, Wilkinson, I, Thilaganathan, B, Stöhr, E, Lees, C, van der Marel, CD & Cornette, JMJ 2019, 'Methods and considerations concerning cardiac output measurement in pregnant women: recommendations of the International Working Group on Maternal Hemodynamics', Ultrasound in Obstetrics and Gynecology, vol. 54, no. 1, pp. 35-50. https://doi.org/10.1002/uog.20231
The International Working Group on Maternal Hemodynamics, Bijl, R. C., Valensise, H., Novelli, G. P., Vasapollo, B., Wilkinson, I., Thilaganathan, B., Stöhr, E., Lees, C., van der Marel, C. D., & Cornette, J. M. J. (2019). Methods and considerations concerning cardiac output measurement in pregnant women: recommendations of the International Working Group on Maternal Hemodynamics. Ultrasound in Obstetrics and Gynecology, 54(1), 35-50. https://doi.org/10.1002/uog.20231
The International Working Group on Maternal Hemodynamics, Bijl RC, Valensise H, Novelli GP, Vasapollo B, Wilkinson I et al. Methods and considerations concerning cardiac output measurement in pregnant women: recommendations of the International Working Group on Maternal Hemodynamics. Ultrasound in Obstetrics and Gynecology. 2019 Jul;54(1):35-50. doi: 10.1002/uog.20231
The International Working Group on Maternal Hemodynamics ; Bijl, R. C. ; Valensise, H. et al. / Methods and considerations concerning cardiac output measurement in pregnant women : recommendations of the International Working Group on Maternal Hemodynamics. In: Ultrasound in Obstetrics and Gynecology. 2019 ; Vol. 54, No. 1. pp. 35-50.
Download
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abstract = "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.",
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