Maternal Outcomes With Methamphetamine Use and Cardiac Assessment for Rural Dissemination (MOM CARD)

Inclusion Criteria: * 18 years or older \> 20 weeks gestation admitted to the hospital * Active patient-defined regular methamphetamine use for at least 1 year and any use within the last month * Able to understand and provide informed consent * Able to understand English Exclusion Criteria: These criteria will exclude women whose medications, personal traits, obstetric conditions, or diseases could confound cardiovascular risk. * Prescribed stimulants * Echocardiogram or EKG previously performed during current pregnancy * Previous diagnosis of congestive heart dysfunction * Previous diagnosis of pulmonary hypertension * Previous myocardial infarction * Previous diagnosis of endocarditis * Prior cardiac intervention (repair of cardiac congenital lesion, valve replacement or repairs, percutaneous/operative treatment of arrhythmias) * High-risk aortopathy (Marfan syndrome, bicuspid aortopathy, prior aortic dissection)