Obstet Gynecol Clin North Am. 2026 Dec;53(4):639-658. doi: 10.1016/j.ogc.2026.07.002. Epub 2026 Sep 15.
ABSTRACT
The modified World Health Organization (mWHO) risk classification provides a practical framework to stratify maternal cardiovascular risk in pregnancy. For general obstetric providers, particularly those practicing outside tertiary centers, this tool can guide management decisions across different health care settings, both urban and rural. The result is the opportunity for early identification of patients who will benefit from multidisciplinary input and require transfer of care. It also provides reassurance when routine obstetric care is appropriate. A structured yet flexible approach that combines mWHO classification, clinical judgment, and multidisciplinary collaboration is recommended to optimizing outcomes in this population.
PMID:42951436 | DOI:10.1016/j.ogc.2026.07.002