Dr. Dianne Zwicke, a Wisconsin cardiologist has devised a treatment regimen for managing pregnancy in patients with pulmonary arterial hypertension.
The treatment involves management of heart function during pregnancy, delivery of the baby at 36 to 37 weeks, and management of the mom’s condition in the ICU during the crucial period after delivery when maternal mortality rate is highest. Excess fluids are dumped from the mother at a rate of three liters per day for 72 hours after delivery.
Dr Zwicke is not telling women with pulmonary hypertension that they should go get pregnant. Her method, though very successful, is not sufficiently well tested for that, and requires monitoring and cooperation that is not available everywhere. She has been telling already pregnant patients that they don’t have to abort the baby.
Read a news feature on Zwicke’s treatment regimen HERE.