Pregnancy and Cardiac Treatment (PACT) 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 acquired heart conditions, such as cardiomyopathy and arrhythmias, as well as birth defects of the heart (congenital heart defects).

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.

We see patients on the second and fourth Wednesdays of the month at the Obstetrics, Gynecology & Perinatal Specialties at Mission Bay – Fourth Street Clinic. You must have a doctor's referral to make an appointment.

Our Services

  • 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

Doctor referral required

Our locations

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    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.

    Patient Resource

    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.

    Patient Resource

    Women's Health Resource Center

    Access a range of UCSF women's health resources, such as classes, support groups, a lending library and services focused on pregnancy, birth and breastfeeding.

    Preparing for your appointment

    What to Bring

    • Photo I.D.
    • Health insurance card
    • Insurance authorization, if required
    • Doctor's referral, if required
    • Recent test results related to your condition
    • List of your medications, including dosages, plus any you're allergic to
    • List of questions you may have
    • Device or paper for taking notes

    International Services

    If you live in another country and are coming to UCSF for medical
    treatment, our patient liaisons can help coordinate all aspects of your visit.

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    UCSF offers language services at no charge for patients with limited
    English, as well as for patients who are deaf or have trouble hearing.

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    Hospital Stays

    Checking into the hospital? Find helpful information by clicking on the relevant “Your Hospital Stay” booklet: Mission Bay, Parnassus or Mount

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    Your Doctor Visit

    See our top 10 tips for making your UCSF doctor’s appointment as stress-free and productive as possible.

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    Related clinics

    Gynecologic Surgery & Urogynecology at Mission Bay – Owens St.

    1500 Owens St., Suite 380
    San Francisco, CA 94158

    Obstetrics & Gynecology at Mount Zion

    2356 Sutter St.
    San Francisco, CA 94143

    Obstetrics, Gynecology & Perinatal Specialties at Mission Bay – Fourth Street

    Ron Conway Family Gateway Medical Building

    1825 Fourth St., Third Floor
    San Francisco, CA 94158

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