Most women with heart conditions, including valvulopathies (such as mitral valve prolapse) and some congenital heart defects, can give healthy children safely, with no permanent adverse effect on heart function or duration of life. However, women with heart failure before pregnancy are at considerable risk of having problems, so they should discuss to their doctor to make sure they receive the most effective treatment before planning a pregnancy.
For women with certain types of heart disease, pregnancy is not recommended as it dramatically increases the risk of death. These disorders include:
Some congenital disabilities, such as Eisenmenger's syndrome (a complication of some heart defects) and sometimes coarctation of the aorta
Sometimes, Marfan syndrome (a hereditary disorder of connective tissue)
Severe aortic stenosis (narrowing of the aortic valve opening)
Cardiac damage (cardiomyopathy) occurred in a previous pregnancy
If a woman with one of these conditions is pregnant, gynecology treatment hospitals would advise abortion as soon as possible.
Pregnancy involves a higher workload for the heart. As a result, pregnancy can worsen heart disease or make it symptomatic. Usually, the risk of death (for the woman or the fetus) increases only in case of severe heart disease before pregnancy. However, relying on the type and severity of heart disease, serious complications can occur in more than 10% of women, such as fluid accumulation in the lungs (pulmonary edema), abnormal heart rate and stroke.
The risk of problems increases throughout the pregnancy with the rise in the request for cardiac work. Cardiopathies during pregnancy can cause an excessive feeling of tiredness, with the need to reduce their activities. In rare cases, early abortion is recommended for women with severe cardiac disease. The risk also increases during labor and delivery. After childbirth, women with severe heart disease may not yet be out of danger for six months, depending on the type of heart disease.
A cardiac pathology of pregnant women can also have repercussions on the fetus, which may be premature. Women with certain congenital heart defects are more likely to give birth to children with the same alterations, which can be detected geographically before birth. If a sudden worsening of a severe heart condition occurs during pregnancy, the fetus may die.
Some medications used for heart disease are not allowed in pregnancy, including angiotensin-converting enzyme (ACE) inhibitors, aldosterone antagonists (spironolactone and eplerenone) and some drugs used for abnormal heart rate (antiarrhythmic drugs) like amiodarone ). The choice of heart medications that you can continue to take during pregnancy depends on the severity of your heart condition and any risk to the fetus. For example, warfarin is generally avoided because it may increase the risk of congenital disabilities. However, it could still be given to women with a mechanical heart valve because it reduces the risk of potentially life-threatening clots.
During labor, pain must be treated according to need. If women have severe heart disease, gynecology treatment hospitals in Delhi can inject a lumbar anesthetic into space between the spine and the outer spinal cord lining tissue (epidural space). This procedure is called epidural anesthesia. In this way, the sensations in the lower part of the spinal cord are blocked, and the response to pain and the need to push are reduced, to reduce the efforts of the heart. The pressures during labor subject the heart to the considerable effort because they require it to work hard.