Cardiac problems during pregnancy

Cardiac problems – what to expect during pregnancy? What changes occur in the cardiovascular system in different periods of normal pregnancies?

 Pregnancy is a physiological condition, during which, however, go hormonal changes, which relax smooth muscle, leading to increased blood volume. These changes start from the fifth week of pregnancy:

The blood volume increases by 30 to 50% (in multiple pregnancies).

Diastolic blood pressure drops. It is lowest in the 4th, 5th and 6th month and increases in late pregnancy.

The condition clotting is changing as well.

Postnatal period is not without risks, because maternal changes, occurring during pregnancy are normalized to one month after birth.Cardiac problems

What are the hemodynamic changes during normal childbirth and caesarean section?

The prevailing view is that the normal way of giving birth is preferable to a cesarean, especially in pregnant women with normal cardiac function. In cesarean birth itself anesthesia can lead to complications. Intubation also carries the risk of complications. Epidural anesthesia is a better choice. Caesarean section is undertaken for medical reasons and when the possibilities of the diseased heart are unpredictable.

What are the options of treatment of heart disease (cardiac problems) during pregnancy?

There is no one way to answer this question. It all depends on the type of heart disease. The common denominator is that these patients should be diagnosed and well monitored by the medical team, including general practitioners, cardiologists, anesthesiologists and, if necessary – geneticists and neonatologists.

How do women with cardiac problems/ cardiovascular disease give birth?

Giving birth depends on the main heart disease and the degree of violation of cardiac function in late pregnancy. The type of delivery in these pregnant women is discussed and decided in advance by a team of gynecologist, cardiologist and anesthesiologist. Take into account all the risks to mother and fetus, according to this plan the timing and method of delivery. If need be done urgently, discussing the correct approach to the situation at that time.

Cardiac problems – Types of cardiovascular disease during pregnancy

Disease at high risk for the mother during pregnancy and childbirth.

Disease with low risk for the mother.

Mother disease associated with a high risk to the fetus.

Behavior and treatment depends on which of the following groups refers disease.

What are the peculiarities of congenital heart defects?

Patients with congenital heart diseases are a heterogeneous group. They are also divided into:

High risk patients: patients with syndrome Eisenmenger, patients with severe obstruction in the output of the left ventricle, patients with severe cyanosis.

Patients with low and moderate risk – pulmonary stenosis.

How does pregnancy go in women with prosthetic valves?

Patients with prosthetic valves refer to a group of high-risk maternal and fetal diseases. The high risk to the mother comes from anticoagulant prophylaxis, which is required for valvular prosthesis. It leads to greater teratogenic risk to the fetus.

How does pregnancy go after surgery of congenital heart defects?

In well-corrected congenital heart defects without serious residual changes without a therapy that affects blood clotting, pregnancy is not complicated by the very vice.

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