Any heart disease in varying degrees, blood circulation, but it can be particularly dangerous during pregnancy, when the growing burden on the heart of the future mother.The prevalence of heart disease among pregnant women is approximately 1-7%, the vast majority of which falls on acquired defects and "the operated heart."
How acquired heart defects affect the pregnancy, will cover in this article. Content
During pregnancy, even for a healthy woman with a 3-4 months significantly increases the load on the heart, reaching a maximum before the birth and to normalizethe end of the second week after delivery.Even a healthy heart does not always withstand such loads and glitches that appear arrhythmia, single extrasystoles appearance and disruption of the heart valves.
«operate with the heart" or "heart with vice" worse during pregnancy can withstand the increased burden on him, therefore, the following complications:
nature of complications depends on the type of defect and its severity.
If a woman has acquired defects or operated heart and want to get pregnant, she must first consult with a gynecologist and a cardiologist (a rheumatologist).Typically, a woman will be required to undergo a thorough medical examination, including a blood test for acute phase reaction ("Revmoproby"), ECHO cardiogram (Doppler ultrasound of the heart with a prefix), ECG.
Then the doctor will reveal the degree of compensation of disturbed circulation and determined that the need to do so that pregnancy proceeded with minimal complications for mother and baby.
Usually the doctor is guided by the following classification risk assessment:
If a heart defect can be corrected by surgery, it is best to do before pregnancy.Also before pregnancy need to ensure that rheumatism moved into an inactive phase, and not to aggravate during the year.
Firstly, not panic.Stress, negative emotions are unlikely to deliver a pregnant woman from heart disease or rheumatic disease, but cause deterioration - please.Focus on the positive aspects of your life and try to remember that all the difficulties the test during pregnancy are temporary.
Secondly, be collected.Talk to your doctor about possible complications during pregnancy and asked him a question about how to prepare for the difficult moments in life.For example, always carry medications recommended by the doctor "first aid", to be taken in the event of deterioration, as well as the phone to call the emergency brigade.
Thirdly, educate your loved ones that you need to do when deterioration.Prepare a bag of personal effects in the event of hospitalization.Tell us what helps you survive the deterioration (eg, lying with raised head end, turn on the fan, take a diuretic, etc.) and ask others to help you with this.
Fourth , gynecologist Ask how you can for fetal movements to determine whether a child is experiencing oxygen starvation, or he's all right.Ask your doctor what to do in those cases when you notice that the child is experiencing discomfort.
Fifth, taking medicines that prescribed by a doctor.Avoid agents that are contraindicated during pregnancy, have adverse effects on the fetus or their effects have not been studied.
Sixthly, follow the diet, because extra weight - it is an additional burden on the heart.
Seventh, lead a physically active lifestyle as much as your heart allows.Daily walking, light exercises help to improve fetal circulation.However, heart defects or after cardiac surgery it is necessary to negotiate with the cardiologist, what exercise is acceptable to you and not hurt.
question of how to give birth, doctors decide in each case individually, taking into account the degree of compensation defect, its appearance, etc.The most commonly used 2 delivery options:
After giving birth, blood volume decreases, so the woman is introduced cardiotonic, which will support the work of the heart.Blood circulation to normal within 2 weeks after birth, but then comes in and check out of the hospital.Be prepared for the fact that rheumatism may be exacerbated over the next year.
Breastfeeding when heart defects are permitted except when giving birth is necessary to use drugs that are contraindicated during lactation.