Treat like usual heart failure
Consider anticoagulation if EF <30% during and 2-3mo after delivery; avoid warfarin and DOACs
If pregnant:
Avoid nitroprusside and ACEI
Use of phenylephrine and norepinephrine controversial
Some animal/in vitro studies suggest increased vasoconstriction of uterine arteries may lead to adverse fetal outcome, however evidence of effect on human uterine arteries is limited 
Maternal hypotension is bad for both mother and fetus!
Consider fetal monitoring to assist in evaluating uterine perfusion
Avoid nitroprusside and ACEI
Use of phenylephrine and norepinephrine controversial
Some animal/in vitro studies suggest increased vasoconstriction of uterine arteries may lead to adverse fetal outcome, however evidence of effect on human uterine arteries is limited 
Maternal hypotension is bad for both mother and fetus!
Consider fetal monitoring to assist in evaluating uterine perfusion
Some animal/in vitro studies suggest increased vasoconstriction of uterine arteries may lead to adverse fetal outcome, however evidence of effect on human uterine arteries is limited 
Maternal hypotension is bad for both mother and fetus!
Peripartum cardiomyopathy
Pneumonia
Takotsubo cardiomyopathy
PE
Electrical storm
MI
Dilated cardiomyopathy
Postpartum fluid overload