- The vast majority of women with heart disease are conducting normal pregnancies and give birth to healthy children. If you have a heart disease, however, you have an increased risk of having complications during your pregnancy
- Created several centres in Denmark for pregnant women with heart disease. These centers work to reduce your risk of pregnancy as much as possible and to ensure pregnant women with cardiac disease such a good pregnancy course as possible
- If you have a history of heart disease, you should ideally be investigated before you become pregnant
- Planning for pregnancy
The most important part of planning should be done BEFORE you become pregnant. Heart doctor knows the details about your heart condition and cannot, therefore, assess the risks of pregnancy and childbirth. On the same occasion will heart doctor assess whether your medication if necessary. needs to be changed, and whether to schedule surgery prior to your pregnancy. This assessment is dependent on the heart ailment in question.
For some women, that before pregnancy must satisfy itself that the heart valves are tight and not narrowed, and that the heart’s pumping action and conduction system operates satisfactorily.
If you have a heart disease, which was first detected during your pregnancy, it is especially important that the elucidation and treatment shall be implemented as soon as possible – before you or your child gets into danger.
When is it dangerous to get pregnant?
- If you are due to a heart condition has significantly reduced physical capacity, is it dangerous to get pregnant
- If your heart is much enlarged and have reduced pumping function, can pregnancy result in heart failure and dangerous heart rhythm disturbances
- If you have a very narrowed heart valve (aortic or mitral valve) or body artery (blood), poses a significant risk to pregnancy
- The blood vessels in the lungs must not be ill with high blood pressure in the lungs
- If you are cyanotic – IE. that your blood has a reduced oxygen content – make up the pregnancy a risk for you and your child
- Do you suffer from connective tissue disease, Marfans syndrome, should your aortarod (where the aorta leaves from the heart) not exceed 4.0 cm when you need to carry out pregnancy and childbirth
Circuit race load during pregnancy
The heart is working overtime during a pregnancy, since it must pump approx. 40% more blood per minute when you are around week 26. At this point, the load on the heart has reached its maximum, while you have approx. 40% more blood in the bloodstream.
Although the total blood volume will be greater during a pregnancy, so fall blood ratio (hemoglobin), because the number of red blood cells does not increase as much as the total blood volume.
It is common to feel that the heart beats more additional battles, and one can easily get a bit dizzy when standing up – especially in the beginning of pregnancy, where the blood pressure is lower than normal. It is also common for one light will be out of breath when you are pregnant.
When the uterus grows, it can, when you lie on your back, pressing the blood vessels that lead the blood back to the heart. It can give a very unpleasant sensation of shortness of breath, nausea and malaise.
Check with heart doctor during pregnancy
During pregnancy, it will often be necessary with additional controls. In order to ensure a streamlined course you will in connection with ambulatory visits to be seen by a cardiologist and an obstetrician. These controls can be examined and pregnancy ultrasound scan both you and your child.
Normal childbirth or caesarean section
Most women with heart disease can give birth to quite normal. In order to reduce the requirements for your heart during delivery will, in most cases, recommend a good pain relief-often in the form of a spinal anesthesia (epidural). With some you can aim to shorten the last part of the birth (press period) by helping your baby to the world with a suction cup.
What do I need to pay particular attention to?
Slight shortness of breath is a normal consequence of being pregnant, and you can live a completely normal life with walks, walking on stairs and light physical work, but severe shortness of breath should always be examined by a specialist.
It’s normal to feel extra beats or have a feeling that the heart jumps each blow over when you are pregnant. If you experience further episodes (about 10 min.) with fast palpitations or if you become dizzy and faint, you must consult a doctor.
Chest pain is not normal for pregnant women, so if you suddenly get severe chest pain, you must be investigated immediately.
Swollen legs-especially early in the pregnancy – can be a sign of heart disease. The State, however, also be seen quite frequently in the last third of pregnancy in healthy pregnant women.
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You should talk to your doctor or midwife if you get one or more of the symptoms listed below:
- Shortness of breath
- Heart cases
- Leg swelling and/or ankles, especially early in pregnancy
- Rapid weight gain
- Heart palpitations, irregular heartbeat
- Bouts of dizziness
- Unnatural fatigue
- Chest pain
- Heart medicine
Drugs are also likely to affect your child, since most drugs passing through the placenta to the baby. It is therefore important that your medication will be reviewed with a medical specialist, preferably prior to a planned pregnancy.
Before you become pregnant, it is decided which drugs necessary for you during pregnancy. It is important to know that if your cardiovascular system is overloaded, the child is also at risk. Therefore, it may be necessary with medication-also during pregnancy.
Heart medication which should always be replaced are ACE inhibitors, which can damage the baby’s kidneys, and spironolactone, who works as a male hormone on the child.
If you are being treated with blood-thinning medication, will be among some pregnant women choose to switch from warfarin tablets for heparin injections. Warfarin affects the child, whereas heparin does not cross the placenta and therefore does not affect the child.
What can I do?
- Came to the agreed studies with a midwife and doctor
- Take the prescribed medications
- Avoid overload
- Listen to your body
- The way you once a week
- Pay attention to the swelling of the hands, feet or face
- Please note, if your level of functionality change significantly
- How much can you before you get tired?
- You will be faster out of breath than before?
- Has it changed significantly?
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