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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.

PACT has weekly clinics where patients are able to see both a high risk OB doctor (Maternal-Fetal Medicine specialist) and a Cardiologist in the same location. In addition, the PACT team meets formally once per month to discuss:

  • Maternal-Fetal Medicine and Genetics
  • Cardiology (Echocardiography and Congenital Heart Specialist)
  • Nursing (Outpatient and Birth 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.
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
Aarthi Sabanayagam, MBBS, MD, Assistant Clinical Professor of Medicine
Divya Mallampati, MD, MPH, Assistant Professor of Medicine


Molly Killion, RN, MS, CNS
High Risk OB Coordinator
Maternal-Fetal Medicine
Dept. of ObGyn & Reproductive Sciences

Mari Jensen, RN 
High Risk OB Coordinator
Dept. of ObGyn & Reproductive Sciences

Patient Navigator

Sohini Vagha
Patient Navigator
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.