
While everyone stresses about diet, exercises and sleep, hardly anyone talks about heart health during pregnancy. However, one should know that heart health and its optimum functioning is vital during pregnancy. This is because proper functioning of the heart will ensure proper circulation along with better oxygen and blood supply to the fetus in the womb. Hence, any problem with this important organ can have an adverse effect on one’s pregnancy.
‘During pregnancy the blood supply inside the body increases and so does the heart rate. It is necessary that a woman’s baseline heart functions like blood pressure, general heart health are in check to avoid complications related to this delicate organ,’ says Dr Gowri Gore, consultant gynecologist, Kohinoor Hospital, Mumbai. Here is how stress comes in the way of your pregnancy too.
How heart problems affect your pregnancy
An existing heart problem might not directly affect one’s chances of conception, however afterwards due to the demands of the body the heart might have to work double. Hence, increased blood supply and cardiac output can take a toll on a weak heart. Some heart troubles that can take a toll during pregnancy are:
Arrhythmic heart beats: Minor abnormalities in the heart rhythm, especially if one have been living a sedentary lifestyle with compromised heart health is common during pregnancy. However, if the rhythm goes haywire and out of control, it can hamper proper oxygen and nutrient supply to the fetus. Hence with a condition like arrhythmic heartbeat constant monitoring of the heart during pregnancy becomes necessary.
Valvular heart disease: If a woman suffers from malfunctioning or scarring of any of her heart valves or has artificial heart valves installed this could increase complications during pregnancy. ‘Such type of heart condition can compromise the pumping capacity of the heart, and the organ might not be able to tolerate the excess pressure or exertion of pregnancy,’ informs Dr Gore. At times, the artificial valves could also lead to infections and other life-threatening conditions, like thrombosis. Medicines for the heart can also complicate a pregnancy. Here are three exercises that boost blood circulation during pregnancy.
Congenital heart disease: If the mother is born with a congenital heart defect, chances are that the baby might also be at the risk of the same. ‘For women with such pre-existing conditions it is vital to have a detailed counseling with a doctor before planning a pregnancy and take necessary steps to avoid complications. There are also times when women might be asked to avoid pregnancy due to her pre-existing heart condition if the doctor thinks it can pose a risk to the baby and the mother,’ says Dr Gore.
Other complications of the heart: Women today are more prone to cardiovascular diseases and suffer from lifestyle-related conditions like hypertension. ‘High blood pressure and other acquired heart related ailments can come in the way of one’s pregnancy. Hence, it is important to control those factors during pregnancy, as such issues can also lead to a sudden cardiac arrest, which can all lead to the termination of pregnancy and have an adverse effect on the mother’s health,’ says Dr Gore. Here are simple tips to survive pregnancy symptoms.
How to deal with heart problems during pregnancy
With a pre-existing heart problem it is important to follow some precautions after conceiving, here are a few of them
Keep up with your antenatal appointments: During pregnancy it is important to keep up with your antenatal visits, more so, if you have a heart problem. Constant monitoring of the heart becomes vital during pregnancy. Apart from the regular blood and urine test, along with weight and fetal heart rate monitoring, tests like an echocardiogram to see the images of the heart and electrocardiogram to measure the electrical activities of the heart is done. Here are five important things to ask your gynecologist during antenatal visits.
Plan pregnancy in advance: ‘It is a known fact that with age along with the other organs of the body the heart health also declines and is more severe in women who have a preexisting heart condition. Hence, an early pregnancy in such case can help rule out complications,’ says Dr Gore.
Avoid smoking and alcohol: These two vices do a lot of damage to the baby during pregnancy. With a heart trouble, the damages will only double up if the expectant mother continues to smoke and drink.
Watch your weight: Weight gain during pregnancy is healthy; however excessive weight gain can take a toll on a weak heart and lead to complications. Hence, keep your weight in check.
Take your medications on time: Make sure you take your medications on a regular basis to avoid putting any stress to your heart.
Opt for a multidisciplinary approach: ‘Planning a pregnancy with a heart trouble might call for a multidisciplinary approach. It is necessary to consult an obstetrician, gynecologist, cardiologist, pulmonologist and a physician and keep them in the loop regarding the progress of your pregnancy,’ says Dr Gore. Here is all you need to know about pre-pregnancy counseling.
Can heart problems interfere during labour?
During labour, the heart rate increases, so it is important to constantly monitor the fetal heart rate and the mother’s heart beat too. To avoid complications and put a pressure on the heart, at times, a C-section is advised to keep the mother and the baby safe from troubles occurring due to heart problems. ‘Heart failure during labour or after the birth could be a possibility if the mother’s heart rate goes haywire due to a pre-existing heart condition and the added stress of labour, so a pre-decided labour for women suffering from heart diseases is always advised,’ says Dr Gore. Here are other 12 causes of C-section that you ought to know.
When should one avoid pregnancy due to heart troubles
Planning a pregnancy amidst any heart trouble would need proper guidance from the cardiologist and a gynecologist. ‘There are certain situations and conditions with the heart when it is best to avoid getting pregnant,’ says Dr Gore. Particularly, if a woman suffers from congenital heart defects like Eisenmenger’s syndrome due to which high blood pressure affects the arteries in the lungs and the right side of the heart. Apart from that, problems in any one of the valves of the heart like the mitral or aortic valve can have life-threatening consequences on the mother and the baby.
‘If one conceives accidentally with an existing heart problem that could be a threat to the pregnancy and the baby, it is wise to opt for termination of the same. It is important to use contraceptives to avoid pregnancy with a heart condition. However remember not all contraceptives would be effective in such cases. Especially hormonal pills, copper T or other over the counter medications aren’t helpful for women with artificial valves,’ informs Dr Gore.
Instead, it is important to talk and know about contraceptives to be on the safer side. ‘Some options that are good for women with heart problems are barrier contraceptive, sterilization and vasectomy of the partner. Counseling is an important aspect of both planning and avoiding a pregnancy in such cases,’ informs Dr Gore.
Image courtesy: Getty images
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- 23 things that you need to take in your maternity bag
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