Dealing with Pregnancy and Heart Disease by Elysiana Canlas
Do you have a heart problem and your pregnant? Cardiovascular diseases
complicate approximately one percent of all pregnancies. Usually, a pregnant
woman with a heart problem would entail the care of a health care team that
would include an internist, an obstetrician and a nurse.
During pregnancy, the heart exerts more effort because both blood volume and
cardiac output increases. This generally occurs in the first 28 weeks of
pregnancy and is sustained throughout the pregnancy. These changes result in
detections of abnormal heart sounds, such as murmurs, and heart palpitations
during pregnancy. Both of which are just the body's response to the increased
demand due to the presence of the infant.
The pregnant woman is in danger because of this increase in circulatory volume.
The pregnant woman's heart may become overwhelmed that it may not delivery blood
properly. When this happens, oxygen and nutrients (both of which are carried by
the blood) are not delivered to the cells and the fetus adequately. This
condition may endanger the life of both the mother and the infant.
The type and extent of the heart disease determines if the woman can
successfully undergo a complete pregnancy. This could be roughly classified as
uncompromised, slightly compromised, markedly compromised and severely
compromised.
o Women who are uncompromised are those who have no limitations in physical
activity, no cardiac insufficiency and no anginal pain.
o Women who are slightly compromised are those who have slight limitation in
physical activity and who experience palpitations, shortness of breath and
anginal pain during physical activity.
o Women who are markedly compromised are those who have a marked limitation of
physical activity and experience palpitations, shortness of breath and anginal
pain during less than an ordinary physical activity.
o Women who are severely compromised are those who are unable to carry out
physical activity.
Women who are uncompromised and slightly compromised usually undergo normal
pregnancy. Women who are markedly compromised are advised to maintain bed rest
during pregnancy. While, women who are severely compromised are described to be
poor candidates of pregnancy.
The pregnant woman with a heart problem, be it mild or severe, should visit her
obstetrician or family physician once she finds out that she is pregnant. The
doctor would evaluate the client's condition and establish baseline data of the
client. The doctor and the other members of the health care team can also advise
steps to attain a successful pregnancy. Prenatal care should be stressed and
close assessment of the pregnant mother should be instated to monitor both the
mother's health and the growth and development of the fetus.
The following steps could help the pregnant woman with a heart problem:
1. Get enough rest A woman with cardiac disease needs more rest than the average
pregnant woman. Rest lessens the strain of the increased burden of the pregnant
woman's heart. Promotion of rest can include discontinuation of work and
reduction of heavy physical activity like certain household work.
2. Eat healthy. Nutrition is essential even to the average pregnant woman.
Weight gain should be watched carefully because additional cells entail
additional demand from the heart. It is also essential to monitor for anemia.
3. Be informed. Like any condition, the pregnant woman should be informed
regarding her specific heart condition. She can help herself be searching other
alternatives that may help her during her pregnancy.
Heart problems are nothing to be lax about especially during pregnancy. Although
a lot of new technologies have been established in dealing with heart problems,
the woman with the heart problem should be extra careful during pregnancy. The
essential course of action is of course through prevention and early detection
of possible problems. These can be achieved through regular visits to the doctor
and religiously following the doctor's orders.
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