Millington, S.K.Magarey, J.Dekker, G.Clark, R.2019-08-142019-08-142019Nursing Open, 2019; 6(3):722-7322054-10582054-1058http://hdl.handle.net/2440/120534Aim This paper provides an overview of the two broad categories of cardiac conditions observed in pregnancy (congenital and acquired). It also identifies the midwives' role in the childbirth continuum and includes assessment, track and trigger systems and management during labour and delivery. Design Discussion paper. Methods Data were collected by reviewing international evidence and by searching computerized databases. Results Research has identified that women with associated risk factors of a cardiac condition who delay pregnancy have an increased risk of experiencing cardiovascular complications in pregnancy with poorer outcomes. The Three Ps in a Pod clinical initiative in the United Kingdom highlights working as a team in multidisciplinary programmes to improve mothers' care and save lives. Midwives play a key role during pregnancy and need to be appraised in relation to cardiovascular disease observed in pregnancy, its potential risks and anticipated problems and within the continuum of care.en© 2019 The Authors. Nursing Open published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.Advanced midwifery education; cardiovascular diagnosis; heart disease; pregnancy complicationsJournal article003013133310.1002/nop2.2690004769177000072-s2.0-85069766080468731Millington, S.K. [0000-0002-8108-8870]Magarey, J. [0000-0002-6150-2894]Dekker, G. [0000-0002-7362-6683]