In this focused expert interview, cardiac electrophysiologist Dr Kamala Tamirisa shares practical 2026 strategies for managing arrhythmias in pregnancy and the postpartum period. Drawing on real‑world cardio‑obstetrics experience and recent guideline updates, she walks the EP team through how to identify true arrhythmia emergencies, choose between rate control, rhythm control, cardioversion, or ablation, and safely use anticoagulation in pregnant patients. The discussion also highlights how to build an effective pregnancy heart‑team model, with EP, heart failure, maternal–fetal medicine, anaesthesia, and neonatology working together around complex high‑risk cases.