Post-partum
There are several issues to consider in the post-partum period. The haemodynamic changes take
several weeks to resolve, and therefore heart failure may not present until after delivery. Those at the
highest risk should be under observation in the hospital for at least 48 h. Early cardiology follow-up is
also important for patients with impaired ventricular function and those with valvular disease, which
may have deteriorated with pregnancy. Cardiac medications, anticoagulation and contraception should
also be reviewed prior to discharge.