{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T09:31:24Z","timestamp":1786354284064,"version":"build-2736575974"},"reference-count":89,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Endocrinol."],"abstract":"<jats:p>Pulmonary arterial hypertension (PAH) complicating pregnancy is a severe condition that poses a significant threat to maternal and foetal health. Despite recent improvements in outcomes for pregnant women with PAH, attributable to continuous updates in diagnostic and treatment strategies and the implementation of multidisciplinary team management, further research is needed on the clinical applicability of risk stratification systems and standardised processes for multidisciplinary management. This article provides a narrative review of the potential impact of pregnancies complicated by PAH on mothers and foetuses, as well as management strategies during pregnancy and childbirth. The aim is to summarise the health risks and management strategies for pregnant women in the preconception, antenatal, and postpartum periods, thereby providing a reference for clinical practice.<\/jats:p>","DOI":"10.3389\/fendo.2026.1911305","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T08:51:26Z","timestamp":1786351886000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Risk stratification and multidisciplinary management strategies for pregnancy complicated by pulmonary arterial hypertension: a narrative review"],"prefix":"10.3389","volume":"17","author":[{"given":"Minghui","family":"Mao","sequence":"first","affiliation":[{"name":"Zhongjiang Maternal and Child Health-Care Hospital","place":["Deyang, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feng","family":"Huang","sequence":"additional","affiliation":[{"name":"Zhongjiang Maternal and Child Health-Care Hospital","place":["Deyang, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maochun","family":"Yang","sequence":"additional","affiliation":[{"name":"Zhongjiang Maternal and Child Health-Care Hospital","place":["Deyang, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lanfang","family":"Chen","sequence":"additional","affiliation":[{"name":"Zhongjiang Maternal and Child Health-Care Hospital","place":["Deyang, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Liu","sequence":"additional","affiliation":[{"name":"Zhongjiang Maternal and Child Health-Care Hospital","place":["Deyang, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,10]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-024-07827-1","article-title":"When pulmonary arterial hypertension and pregnancy meet: a multidisciplinary clinical experts review","volume":"310","author":"Dominoni","year":"2024","journal-title":"Arch Gynecol Obstet"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra2000348","article-title":"Pulmonary arterial hypertension","volume":"385","author":"Hassoun","year":"2021","journal-title":"N Engl J Med"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1378\/chest.10-0075","article-title":"The changing picture of patients with pulmonary arterial hypertension in the United States: how REVEAL differs from historic and non-US contemporary registries","volume":"139","author":"Frost","year":"2011","journal-title":"Chest"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1097\/aog.0000000000003549","article-title":"Pulmonary hypertension and pregnancy","volume":"134","author":"Martin","year":"2019","journal-title":"Obstet Gynecol"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1177\/20458940211013671","article-title":"Pulmonary arterial hypertension in pregnancy-a systematic review of outcomes in the modern era","volume":"11","author":"Low","year":"2021","journal-title":"Pulm Circ"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.26355\/eurrev_202312_34570","article-title":"Management of anesthesia in pregnant women with pulmonary hypertension","volume":"27","author":"Tosun S\u00f6ner","year":"2023","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehac237","article-title":"2022 ESC\/ERS guidelines for the diagnosis and treatment of pulmonary hypertension","volume":"43","author":"Humbert","year":"2022","journal-title":"Eur Heart J"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.3760\/cma.j.issn.0529-567x.2016.06.001","article-title":"Expert consensus on diagnosis and treatment of pregnancy complicated with heart disease","volume":"51","year":"2016","journal-title":"Chinese J. 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