Navigating between Scylla and Charybdis: Diuretics during pregnancy – as much as needed, but the least possible.

The article discusses the use of diuretics during pregnancy for women with heart failure and/or congenital heart and/or valvular heart disease. The care of these patients during pregnancy is largely based on expert opinion rather than evidence-based studies. The article presents data from the ESC Registry of Pregnancy and Cardiac Disease, showing that diuretics can be used during pregnancy when clearly indicated based on the mother's disease. The data mainly refer to the loop diuretic furosemide, and other diuretic medications were used less frequently. The article emphasizes the need for an individualized patient-centered approach and collaboration between cardiologists and obstetricians in the care of pregnant women with cardiac diseases. [Extracted from the article]