Balancing haemodynamic priorities in obstetrics: back to basics.

This article discusses the importance of balancing haemodynamic priorities in obstetrics, using a case study of a patient with severe preeclampsia and an uncorrected cardiac lesion. It emphasizes the need for a multidisciplinary team and specialized care in managing complex cases. The article also highlights the high rate of preventable maternal deaths in South Africa and the increased risk when conditions like preeclampsia and cardiac pathology coexist. It provides information on expected haemodynamic changes during pregnancy and various conditions, and discusses the importance of balancing preload, afterload, and heart rate in managing these conditions. The article also mentions the use of positive pressure ventilation and cardiac ultrasound in assessing cardiovascular function, and the limitations of available resources in managing certain complications. It concludes by emphasizing the importance of clinical judgment in determining priorities for cardiovascular intervention. [Extracted from the article]