Should Women With Heart Disease Get Pregnant?
With the development of science, most heart diseases today can be effectively cured so that a woman can get pregnant normally.
Heart disease itself has many different forms and degrees of severity. With many mild heart diseases (majority), pregnancy hardly affects the mother. Conversely, some patients with severe, unresolved or incapable heart problems before becoming pregnant and still pregnant can increase the risk of death for both mother and child.
The previous opinion said that when you have heart disease, you should not get married. If you are married, you should not get pregnant and if you are pregnant, you should not give birth. If you are pregnant, you should not breastfeed. The problem is that the patients themselves must have knowledge, plan and be proactive in his birth
Congenital heart disease
Atrial septal, ventricular septal, and patent ductus arteriosus are the most common congenital heart diseases.
These diseases have a hole in the heart wall (the muscle separating the heart from the right heart). If the opening is large, blood from the left heart will pass through the right heart and be pumped back to the lungs.
Most women with congenital heart disease, especially those who have had surgery, can get pregnant. However, the type of congenital injury, the severity of the disease, whether or not the pulmonary artery pressure increases, a history of cardiac surgery, or any associated heart or lung disease are factors that can affect prognosis.
Pregnant women with congenital heart disease who have increased pulmonary arterial pressure should not become pregnant, as this increases the mother's risk of death. In women with congenital heart disease, there are signs of heart failure that gradually worsen, increasing the risk of long-term maternal complications.
If you have been diagnosed with congenital heart disease, your cardiologist will evaluate your heart condition when you are planning to become pregnant and advise you about possible risks
Heart valve disease
Aortic valve stenosis is a condition in which the aortic valve (between the left ventricle and the aorta) is narrowed or hardened. Over time, heart failure symptoms appear or worsen, increasing the risk of long-term maternal complications. Women with mitral aortic valve or other types of aortic stenosis need to be examined by a cardiologist when planning a pregnancy. Sometimes, heart valve surgery is needed before pregnancy.
Aortic valve stenosis
Mitral stenosis is a condition in which the mitral valve (dividing between the left atrium and the left ventricle) is narrowed. Common cause is rheumatic heart. Increased blood volume and increased heart rate during pregnancy will aggravate the symptoms of mitral stenosis. The right atrium can widen, causing an irregular heartbeat called atrial fibrillation.
In addition, you may experience symptoms of heart failure such as shortness of breath, arrhythmia, fatigue, edema. Heart failure will increase the risk for the mother. Some cases require medication treatment during pregnancy to relieve symptoms. Women with mitral stenosis must see a cardiologist when they plan to get pregnant. Heart valve surgery is sometimes needed before pregnancy.
Mitral valve prolapse is a common disease that usually causes few symptoms and does not require treatment. Most women with mitral valve prolapse can safely get pregnant. If mitral valve prolapse causes a lot of heart valves, treatment is necessary before pregnancy.
It is best to follow the directions of a physician.
Mitral valve regurgitation:
A mild level can still be pregnant, but a cardiovascular health check before pregnancy is needed to give an accurate assessment of your condition and be advised by your doctor. During pregnancy, the heart has to contract more to provide enough nutrients to the fetus, which can make the leaky valve worse. Therefore pregnant women need periodic monitoring to prevent complications.
Severe mitral valve openings, accompanied by impaired cardiac function, are more susceptible to complications during pregnancy.
The disease has artificial heart valves
Women with artificial heart valves may experience complications during pregnancy. People who have had an artificial valve replacement have to use anticoagulant for a lifetime, while some anticoagulants can harm an unborn baby. The risk of blood clots increases during pregnancy.
If you have an artificial heart valve and are taking anticoagulants, it is important to see a doctor before becoming pregnant. You will be counseled about possible risks and choosing the best anticoagulant. In addition, you should consult your doctor about the prophylactic treatment of bacterial endocarditis.
Artificial heart valve
Pregnant women often experience abnormal heart rhythms (arrhythmias) during pregnancy. Arrhythmias may be detected for the first time during pregnancy in women without heart disease, or as a result of existing cardiovascular disease.
Most cases do not show symptoms and do not require treatment. If symptoms develop, your doctor may perform several tests to determine the cause of arrhythmia.
Women with aortic pathology, such as aortic aneurysm, aortic dilatation, or connective tissue disease such as Marfan syndrome, have an increased risk of complications.
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