
Pregnancy & Cardiac Treatment
On this page
The UCSF Pregnancy and Cardiac Treatment (PACT) Program provides multidisciplinary, specialized preconception and prenatal care for women with heart disease. Our patients include women with congenital heart defects or with acquired heart conditions such as cardiomyopathy, hypertension and arrhythmias.
Our goal is to help women achieve the best possible health and pregnancy outcomes. The PACT Program team – made up of specialists in maternal-fetal medicine, cardiology, obstetric anesthesia, critical care, nursing and social work – has successfully managed hundreds of pregnancies since the program was founded in 2008.
Our Services
- Preconception counseling
- Obstetric/maternal-fetal medicine and cardiology consultations during pregnancy
- Specialized cardiology services (interventional cardiology, cardiac surgery, cardiology subspecialties)
- Perinatal genetics testing
- Prenatal fetal echocardiography
- Specialized labor and delivery unit
- Neonatal intensive care
- Special anesthetic management during labor
- Specialized pharmacy services
- Mental health services
- Postpartum maternal follow-up program
The UCSF Pregnancy and Cardiac Treatment (PACT) Program provides multidisciplinary, specialized preconception and prenatal care for women with heart disease. Our patients include women with congenital heart defects or with acquired heart conditions such as cardiomyopathy, hypertension and arrhythmias.
Our goal is to help women achieve the best possible health and pregnancy outcomes. The PACT Program team – made up of specialists in maternal-fetal medicine, cardiology, obstetric anesthesia, critical care, nursing and social work – has successfully managed hundreds of pregnancies since the program was founded in 2008.
Our Services
- Preconception counseling
- Obstetric/maternal-fetal medicine and cardiology consultations during pregnancy
- Specialized cardiology services (interventional cardiology, cardiac surgery, cardiology subspecialties)
- Perinatal genetics testing
- Prenatal fetal echocardiography
- Specialized labor and delivery unit
- Neonatal intensive care
- Special anesthetic management during labor
- Specialized pharmacy services
- Mental health services
- Postpartum maternal follow-up program
Providers

Anushree Agarwal, MD, MBBS
Congenital Cardiac Disease • Cardiology
Joseph Bayne, MD
Cardiology • Adult Congenital Cardiac Disease
Juan M. Gonzalez-Velez, MD
Maternal and Fetal Medicine
Ian S. Harris, MD
Congenital Cardiac Disease • Cardiology
Awards & recognition

One of the nation's best for heart & vascular care

Rated high-performing hospital for heart arrhythmia care
Related conditions & treatments
Conditions
- Cardiac Disease in Pregnancy
- Congenital Heart Disease
- Cardiomyopathy
- Arrhythmias During Pregnancy
- Hypertension
Treatments
- Preconception Counseling
- Genetic Testing
- Fetal Echocardiograms
- Labor and Delivery
- Newborn Care
Clinical trials
DECIDE: A Comparative Effectiveness Trial of Metformin Versus Insulin for the Treatment of Gest...Opens in a new window
LGA will be defined as a birthweight ≥90th%tile for gestational age based on a US birth certificate reference adjusted for parity and/or fetal sex. Neonatal hypoglycemia will be defined as a blood glucose <35 mg/dL or treatment <2...Commercial or Open Source Closed Loop Impact on Pregnancy StudyOpens in a new window
Primary neonatal outcome. LGA defined as birth weight > 90th percentile for gestational ageImproving Congenital Heart Disease CareOpens in a new window
Number of patients recruited out of all the eligible patient approached for recruitment.
Support services

Great Expectations Pregnancy Classes
Get ready for the baby! Choose from a variety of classes that prepare moms and partners for pregnancy, birth, baby care, breastfeeding and parenting.
Lactation Consultant Support
Get support for all your breastfeeding needs. Troubleshoot with a lactation consultant, find equipment and supplies, join a support group and more.
Women's Health Resource Center
Access free health resources here, from classes and webinars to support groups and medical referrals, plus pregnancy, birth and breastfeeding services.

