The human body adapts remarkably to the physiological demands of a pregnancy. In most instances, it should be a breeze and largely uneventful. However, in women with health risks and those who have had previous health or heart issues, it becomes a different ballgame. Sound heart health during pregnancy is important.
Cardiovascular disease is one of the leading causes of maternal death during pregnancy and the postpartum period. It constitutes 26.5 percent of pregnancy-related deaths, according to the American College of Obstetrics and Gynecologists.
It is needless to say, but as a woman prepares for her pregnancy, she has to commit herself to take care of her health. Pregnancy puts unusual demands on the body of a woman and coping with it requires understanding planning and practicing healthy living.
As the age of women who are getting pregnant is increasing in urban populations, it brings to fore new challenges. A higher prevalence of obesity diabetes hypertension and habits such as smoking and alcohol put a womb at risk during pregnancy.
So, women should prioritize their health, especially heart health prior to conception.
Overweight women have a higher chance of developing gestational diabetes, which puts them as well the baby to unnecessary risks. Diabetic women are at risk of cardiovascular complications during and after pregnancy. So it’s important to control one’s diabetes optimally prior to conception. Overweight women should try and achieve ideal body weight.
Both can be accomplished through a combination of a good and healthy diet comprising of fresh vegetables fruits and greens. A 30-minute brisk walk daily goes a long way toward realizing that goal.
High blood pressure and high blood cholesterol also increase a woman’s risk of heart complications during pregnancy.
A unique condition called preeclampsia can put both mother and baby at risk for complications. Among modifiable risk factors for preeclampsia are obesity and overweight. To reduce the incidence of this problem, it’s important for women to achieve ideal body weight prior to conception. At-risk women are sometimes prescribed baby aspirin.
Women who have certain immune-mediated diseases of connective tissue like lupus erythematosis and rheumatoid arthritis also have a higher risk of cardiac complications. Also, some of the medicines used for these diseases, interfere with conception as well as feral development.
A woman who has pre-existing heart condition would already be on medication which could interfere with the development of fetus. So, a proper consultation with obstetrician and cardiologist is required to substitute those medications with safer alternatives prior to conception. Many medications need to be continued in the same or modified doses.
Also read: The number of pregnancies you’ve had can determine your risk of heart disease
In view of the rising age of conceiving women in urban populations, many scientific societies have issued guidance for comprehensive cardiac evaluation prior to conception. This is especially important in older women trying conception through assisted means such as in-vitro fertility (IVF).
Therefore, pregnancy in women with prior cardiac issues needs to be co-managed by cardiologist and obstetrician. The cornerstones of preparing your heart for a safe pregnancy are risk factor management, optimal treatment of pre-existing disease and awareness of safety issues of drugs.
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