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UCSF Pregnancy and Cardiac Treatment (PACT) Program

Heart disease remains a leading cause for adverse maternal outcomes. About 1% of pregnancies are complicated by cardiovascular disease. These pregnancies require specialized care in order to ensure an optimal outcome for the mother and neonate. In 2008, the UCSF Pregnancy and Cardiac Treatment (PACT) team was founded and has successfully managed over 200 pregnancies.

The mission of UCSF PACT is to improve the health and pregnancy outcomes of mothers with cardiovascular disease including those with acquired disease (valvular, cardiomyopathy, arrhythmias) and congenital heart disease (born with a cardiac defect). We aim to provide multidisciplinary care to improve coordination of services for mothers with cardiac disease.

The PACT team meets formally once per month to discuss specifics of management of individual patients and combines the following disciplines:

  • Maternal-Fetal Medicine and Genetics
  • Cardiology (Echocardiography and Congenital Heart Specialist)
  • Nursing (Outpatient and Birthing Center)
  • Anesthesia
  • Critical Care
  • Social Work

Faculty Members

Juan M. Gonzalez, MD, F.A.C.O.G.
Associate Professor, Division of Maternal-Fetal Medicine
ObGyn & Reproductive Sciences 

Ian S. Harris, MD, F.A.H.A.
Assistant Professor of Medicine
Director, Adult Congenital Cardiology Program
Department of Medicine

Anu Agarwal, MD, Assistant Professor of Medicine
Nisha Parikh, MD, Associate Professor of Medicine


Molly Killion, RN, MS, CNS
Perinatal Clinical Nurse Specialist
Center for Mothers and Newborns
Dept. of ObGyn & Reproductive Sciences

Jennie Kajiko, RN, MS, CSN
High-Risk OB Coordinator
Dept. of ObGyn & Reproductive Sciences

Social Worker

Sharon Gee, LCSW
Chief Clinical Social Worker
Department of Pediatric Social Work
Obstetrics Services and Perinatal Medicine Specialties


Please visit the UCSF Health website for more information on PACT clinic services and for appointments.