Table 35: Medications that may be useful for pregnant women with HF
Medication Use in pregnancy*
Beta-blockers
  • Should be continued or initiated during pregnancy
  • Requires close fetal monitoring for growth retardation
  • Beta-1 selective antagonists preferred to avoid potential increased uterine tone and decreased uterine perfusion
Digoxin May be used if volume overload symptoms persist despite vasodilator and diuretic therapy
Diuretics May be used, but with caution regarding excessive volume contraction leading to reduced placental perfusion
Hydralazine May be used for management of HF symptoms or elevated blood pressure
Nitrates May be used to treat decompensated HF pregnancy

*Avoid all RAAS inhibitors (ACEi, ARB, MRA, ARNI, renin inhibitors)

HF, heart failure.