{"id":722,"date":"2020-07-25T14:03:51","date_gmt":"2020-07-25T14:03:51","guid":{"rendered":"http:\/\/www.socn.scot.nhs.uk\/?page_id=722"},"modified":"2026-07-21T18:30:57","modified_gmt":"2026-07-21T18:30:57","slug":"guidelines","status":"publish","type":"page","link":"https:\/\/www.nn.nhs.scot\/socn\/professionals\/guidelines\/","title":{"rendered":"Other Resources"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Please find below some useful resources to support the management of women of childbearing age with cardiovascular disease.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">These guidelines provide information on contraception, management of women with known cardiac disease in pregnancy and recognising acute presentations of cardiac disease in pregnancy.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The Network are developing guidelines and pathways of care relevant to NHS Scotland and these will be available later in the year.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Preventing Maternal Mortality<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Preventing maternal mortality: It&#8217;s ok to ask:<\/strong> This animation provides guidance to doctors in assessing unwell pregnant or post-partum women with the aim of reducing indirect maternal mortality rates. Produced by Dr Rebecca Northridge in collaboration with the Royal College of Physicians and Surgeons of Glasgow and the Royal College of Obstetricians and Gynaecologists.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Preventing maternal mortality: It&amp;apos;s ok to ask\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/qb7lntscULc?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><\/h3>\n\n\n\n<h3 class=\"wp-block-heading\">Acute cardiovascular presentations in pregnancy<\/h3>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright\"><img loading=\"lazy\" decoding=\"async\" width=\"101\" height=\"300\" src=\"http:\/\/www.socn.scot.nhs.uk\/wp-content\/uploads\/sites\/29\/2020\/04\/unwell-101x300.png\" alt=\"\" class=\"wp-image-434\" srcset=\"https:\/\/www.nn.nhs.scot\/socn\/wp-content\/uploads\/sites\/29\/2020\/04\/unwell-101x300.png 101w, https:\/\/www.nn.nhs.scot\/socn\/wp-content\/uploads\/sites\/29\/2020\/04\/unwell.png 198w\" sizes=\"auto, (max-width: 101px) 100vw, 101px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">Cardiac disease accounts for a quarter of maternal deaths in the UK. &nbsp;77% of the women who died did not know they had a cardiac condition. The following are guides to assist in recognising signs and symptoms that are not normal in pregnancy and investigating appropriately.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The Royal College of Physicians Acute care toolkit: &nbsp;Managing acute medical problems in pregnancy&nbsp;<a href=\"https:\/\/www.rcp.ac.uk\/improving-care\/resources\/acute-care-toolkit-15-managing-acute-medical-problems-in-pregnancy\/\">Toolkit<\/a>&nbsp; including red flags when women present with chest pain, palpitation and breathlessness. They also include flowcharts for assessing and managing these presentations<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Management of heart disease in pregnancy<\/h3>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft\"><img loading=\"lazy\" decoding=\"async\" width=\"268\" height=\"480\" src=\"http:\/\/www.socn.scot.nhs.uk\/wp-content\/uploads\/sites\/29\/2020\/04\/woman.png\" alt=\"\" class=\"wp-image-407\" srcset=\"https:\/\/www.nn.nhs.scot\/socn\/wp-content\/uploads\/sites\/29\/2020\/04\/woman.png 268w, https:\/\/www.nn.nhs.scot\/socn\/wp-content\/uploads\/sites\/29\/2020\/04\/woman-168x300.png 168w\" sizes=\"auto, (max-width: 268px) 100vw, 268px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/academic.oup.com\/eurheartj\/article\/46\/43\/4462\/8234487\">European Society of Cardiology Guidelines on the management of cardiovascular diseases during pregnancy&nbsp;<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/rcpsg.ac.uk\/documents\/media-releases\/maternal-health\/335-addressing-the-heart-of-the-issue\/file\">Addressing the Heart of the Issue<\/a>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Standards for healthcare professionals in Scotland in pre-pregnancy, antenatal and postnatal care of women with cardiac disease<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0735109716333526?via%3Dihub\">High Risk Cardiac Disease in Pregnancy \u2013 Part I<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S073510971633354X?via%3Dihub\">High Risk Cardiac Disease in Pregnancy Part II<\/a>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Published in 2016 \u2018High Risk Cardiac Disease in Pregnancy\u2019&nbsp;reviews the available published reports and provide recommendations on the&nbsp;management of women with high-risk cardiovascular conditions during pregnancy.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.nice.org.uk\/guidance\/ng121\">NICE Intrapartum care for women with existing medical conditions or obstetric complications and their babies 2019<\/a>&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Contraceptive guidance for women with cardiovascular disease<\/h3>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"200\" src=\"http:\/\/www.socn.scot.nhs.uk\/wp-content\/uploads\/sites\/29\/2020\/04\/contraception-300x200.png\" alt=\"\" class=\"wp-image-517\" srcset=\"https:\/\/www.nn.nhs.scot\/socn\/wp-content\/uploads\/sites\/29\/2020\/04\/contraception-300x200.png 300w, https:\/\/www.nn.nhs.scot\/socn\/wp-content\/uploads\/sites\/29\/2020\/04\/contraception-272x182.png 272w, https:\/\/www.nn.nhs.scot\/socn\/wp-content\/uploads\/sites\/29\/2020\/04\/contraception.png 530w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">Please click on the links below: Faculty for Sexual &amp; Reproductive Health<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.cosrh.org\/Public\/Public\/Standards-and-Guidance\/uk-medical-eligibility-criteria-for-contraceptive-use-ukmec.aspx\">UK Medical Eligibility Criteria for Contraceptive Use (UKMEC)<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.cosrh.org\/Public\/Documents\/fsrh-guidance-fsrh-guidance-management-of-women-taking-anticoagulants.aspx?WebsiteKey=f858b086-d221-4a83-9688-824162920b1b\">Management of women taking anticoagulants or antiplatelet medications who request intrauterine contraception or subdermal implants<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/doi.org\/10.1093\/eurheartj\/ehv141\">Contraception and cardiovascular disease<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Contraceptive counselling should begin early in females with heart disease. &nbsp;This article discusses the various methods of contraception, their safety and efficacy relative to their cardiac condition.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">SOCN Guidance<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Please find below guidance developed by SOCN to support obstetric care.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><a href=\"https:\/\/www.nn.nhs.scot\/socn\/wp-content\/uploads\/sites\/29\/2026\/07\/NSD610-025.01-SOCN_Contraceptive-options-for-women-with-cardiovascular-disease-V1.pdf\">Contraceptive options for women with cardiovascular disease<\/a><\/td><td> <a href=\"https:\/\/www.nn.nhs.scot\/socn\/wp-content\/uploads\/sites\/29\/2026\/07\/NSD610-025.04-SOCN_Preconception-care-and-counselling-for-women-with-cardiovascular-disease-V1.pdf\">Preconception care and counselling for women with cardiovascular disease<\/a><\/td><td> <a href=\"https:\/\/www.nn.nhs.scot\/socn\/wp-content\/uploads\/sites\/29\/2026\/07\/NSD610-025.06-SOCN_Pregnancy-post-partum-management-for-women-with-cardiovascular-disease-V1.pdf\">Pregnancy &amp; post-partum management for women with cardiovascular disease<\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">SOCN Acute Resources<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Please find below some acute resources (posters) developed by SOCN to support obstetric care.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.nn.nhs.scot\/socn\/wp-content\/uploads\/sites\/29\/2026\/07\/NSD610-025.09-SOCN_Chest-pain-in-pregnancy-early-postpartum-Triage-assessment-V1.pdf\">Chest pain in pregnancy &amp; early postpartum: Triage &amp; assessment<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.nn.nhs.scot\/socn\/wp-content\/uploads\/sites\/29\/2026\/07\/NSD610-025.10-SOCN_Breathlessness-in-pregnancy-early-postpartum-Triage-assessment-V1.pdf\">Breathlessness in pregnancy &amp; early postpartum: Triage &amp; assessment<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.nn.nhs.scot\/socn\/wp-content\/uploads\/sites\/29\/2026\/07\/NSD610-025.11-SOCN_Palpitations-in-pregnancy-early-postpartum-Triage-assessment-V1.pdf\">Palpitations in pregnancy &amp; early postpartum: Triage &amp; assessment<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.nn.nhs.scot\/socn\/wp-content\/uploads\/sites\/29\/2026\/07\/NSD610-025.12-SOCN_Algorithm-for-assessing-maternal-collapse-cardiac-arrest-V1.pdf\">Algorithm for assessing maternal collapse &amp; cardiac arrest<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.nn.nhs.scot\/socn\/wp-content\/uploads\/sites\/29\/2026\/07\/NSD610-025.14-SOCN_Cardiovascular-presentations-in-pregnancy-postpartum-MAKE-A-DIAGNOSIS-V1.pdf\">Cardiovascular presentations in pregnancy &amp; postpartum &#8211; MAKE A DIAGNOSIS<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.nn.nhs.scot\/socn\/wp-content\/uploads\/sites\/29\/2026\/07\/NSD610-025.15-SOCN_Acute-Presentation-of-Cardiovascular-Disease-in-Pregnancy.-Considerations-or-discussion-andor-referral-to-GJNH-V1.pdf\">Acute Presentation of Cardiovascular Disease in Pregnancy. Considerations or discussion and\/or referral to Golden Jubilee National Hospital (GJNH)<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.nn.nhs.scot\/socn\/wp-content\/uploads\/sites\/29\/2026\/07\/NSD610-025.16-SOCN_Assessment-Algorithm-for-Pregnant-Postpartum-Women-Presenting-with-Signs-Symptoms-of-Cardiovascular-disease-V1.pdf\">Assessment Algorithm for Pregnant &amp; Postpartum Women Presenting with Signs &amp; Symptoms of Cardiovascular disease<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p class=\"nhsuk-card__description\">Please find below some useful resources to support the management of women of childbearing age with cardiovascular disease. These guidelines [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":16,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-722","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.nn.nhs.scot\/socn\/wp-json\/wp\/v2\/pages\/722","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nn.nhs.scot\/socn\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.nn.nhs.scot\/socn\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.nn.nhs.scot\/socn\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.nn.nhs.scot\/socn\/wp-json\/wp\/v2\/comments?post=722"}],"version-history":[{"count":94,"href":"https:\/\/www.nn.nhs.scot\/socn\/wp-json\/wp\/v2\/pages\/722\/revisions"}],"predecessor-version":[{"id":1853,"href":"https:\/\/www.nn.nhs.scot\/socn\/wp-json\/wp\/v2\/pages\/722\/revisions\/1853"}],"up":[{"embeddable":true,"href":"https:\/\/www.nn.nhs.scot\/socn\/wp-json\/wp\/v2\/pages\/16"}],"wp:attachment":[{"href":"https:\/\/www.nn.nhs.scot\/socn\/wp-json\/wp\/v2\/media?parent=722"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}