Preconception Counseling for High-Risk Women

Guest: Katie Young, M.D.

Guest: Carl Rose, M.D.

Host: Marysia Tweet, M.D.

Preconception counseling for high-risk women focuses on identifying and optimizing cardiovascular, metabolic, and medical conditions before pregnancy to reduce maternal and fetal risk. This podcast highlights risk stratification, medication review, and delivery planning considerations that can meaningfully improve pregnancy and postpartum outcomes.

Topics Discussed:

Core components of a comprehensive preconception evaluation
How do tools like modified WHO classification and CARPREG II inform counseling?
Cardiac medications and pregnancy
Cardiovascular surveillance across pregnancy in high-risk patients

2025 ESC Guidelines for the management of cardiovascular disease and pregnancy: https://academic.oup.com/eurheartj/article/46/43/4462/8234487

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Podcast episode transcript found here.

Recorded on: 08-January-2026