Coronary Heart Disease And Pregnancy - Preparing For Pregnancy - Healthy Tips
News and Infos on our Health HUB.
Acne tips, Acupuncture tips, Aerobics Cardio tips, Allergies tips, tips on Alternative medicine, Anti-Aging tips, healthy Aromatherapy tips, tips on Asthma, tips on Autism, Back pain tips, Healthy Beauty tips, tips on Build Muscle, tips on cancer, cancer tips, tips on how to life with Cholesterol, Cholesterol tips, Healthie Cosmetic tips, healthy Cosmetic Surgery tips, Cosmetic Surgery tips, healthy Dental tips, tips on Dental Care, Dental Care tips, Depression tips, how to life with Depressions, tips on Detoxification, Detoxification tips, how to life with Diabetes, how to life with Diseases, Diseases tips, how to life with Diseases and Conditions, Diseases and Conditions tips, how to life with Drug Abuse, Drug Abuse tips, how to life with Ears Hearing, Ears Hearing tips, how to life with Eczema, Eczema tips, how to life with Environmental Issues, Environmental Issues tips, how to Exercise, Exercise tips, how to life with Eyes Vision, Eyes Vision tips, Fitness Equipment tips, how to Foot health, Foot health tips, healthy Hair tips, how to of Healing Arts, Healing Arts tips, how to life with Heart Disease, Heart Disease tips, how to life with Heartburn and Acid Reflux, Heartburn and Acid Reflux tips, how to life with Haemorrhoids, Haemorrhoids tips, how to Massage, Massage tips, how to use healthy medicine, healthy Medicine tips, how to life with Men’s Issues, Men’s Issues tips, how to life with Migraine Symptoms, Migraine Symptoms tips, how to with Nutrition, Nutrition tips, how to life with Pain Management, Pain Management tips, how to with Plastic Surgery, Plastic Surgery tips, how to find Popular Diets, Popular Diets tips, how to life with Pregnancy, Pregnancy tips, how to Quit Smoking, Quit Smoking tips, how to Self-Hypnosis, Self-Hypnosis tips, healthy Skin Care, Skin Care tips, how to life with Sleep Snoring, Sleep Snoring tips, how to do healthy Spa and Wellness, healthy Spa and Wellness tips, how to use health Supplement, health Supplement tips, how to do healthy Weight Loss, healthy Weight Loss tips, Healthy Yoga tips,
single,single-post,postid-30341,single-format-standard,ajax_leftright,page_not_loaded,,qode-theme-ver-7.6.2,wpb-js-composer js-comp-ver-4.6.2,vc_responsive

Coronary Heart Disease And Pregnancy – Preparing For Pregnancy

Coronary Heart Disease And Pregnancy – Preparing For Pregnancy

Coronary heart  disease , is a narrowing of the coronary artery: a large blood vessel that supplies blood to the heart. This narrowing is caused by fatty deposits in the artery itself  and  is the leading cause of heart attacks in the developed world. Cardiac  disease  of all types is, indirectly, the leading cause of maternal death in the UK. The risk of developing coronary heart  disease  increases significantly with age beyond 35 years  and  more significantly still in those over 50 years.

Large scale social changes have led to the increase in the number of pregnant women who suffer with coronary heart  disease . The age at which women are able to conceive  and  sustain a pregnancy has, on average, increased with many factors driving this, not least, increases in health care  and  fertility medicine. Career  and  financial pressures also mean women are delaying having their first child  and  fluidity of family structures also have contributed to older women wishing to conceive with their second or third partners/spouse.

Lifestyle changes have, without doubt, contributed to the rise in younger women developing coronary heart  disease . The huge rise in obesity is an obvious starting point  and , according to current statistics, the number of young women who smoke far exceeds the number of young men who partake in this unhealthy habit.

Working  and  leisure patterns have also played their part with more  and  more jobs being sedentary  and  desk based in their nature  and  women far less likely than men to take part in organised sports but increasingly likely to drink more alcohol than is recommended on a regular basis.

Should women with coronary heart  disease  risk pregnancy at all?

This is a rather vexing question. It is only in recent times that the number of women with coronary heart  disease  has reached any significant level. The greatest risk posed by embarking upon a pregnancy with coronary heart  disease  is the risk of heart attack particularly during labour. Other  diseases   and   conditions  associated with coronary heart  disease  such as hypertension (high blood pressure)  and  diabetes serve only to increase the risk to mother  and  child. It is also possible that some medications you are taking to control your heart  condition  may not be suitable for use during pregnancy. Stopping or changing them may further increase the risk of heart attack.

Pregnancy itself may worsen symptoms of coronary heart  disease . This exacerbated form of the  disease  is known as acute coronary syndrome  and  is three to four times more common in pregnant women compared to non-pregnant women of the same age. It is estimated that acute coronary syndrome affects one in every ten thousand pregnancies in the USA. The rates are assumed to be lower in the UK but large scale studies have yet to be conducted. This is likely the result of a host of factors common in pregnancy: mobility may become restricted in later stages, drug absorption may be affected particularly in mothers who suffer morning sickness  and  blood pressure may increase to dangerous levels.

Choosing to conceive if you have coronary heart  disease  is not a decision that should be taken lightly  and  certainly not without consultation with your doctor  and  cardiologist.

Risks of coronary heart  disease  during pregnancy

As already indicated, the greatest risk is that of heart attack. This could, of course be fatal or leave your baby starved of oxygen (hypoxia) which, in turn, can lead to permanent brain damage. The risk of heart attack is increased during labour  and  you may be advised to have a caesarian delivery.

Hypertension (high blood pressure) is a predisposing factor for coronary heart  disease   and  a  condition  that develops in the last twenty weeks of pregnancy, pre-eclampsia can increase the risk of heart attack many-fold. Indeed, pre-eclampsia alone has the potential to be fatal. Pre-eclampsia superimposed on (chronic) hypertension has been seen to develop in as many as one quarter of women with pre-existing hypertension. Early detection is important to ensure a good outcome in this scenario so frequent  and  regular blood pressure monitoring is essential for pregnant women with hypertension  and  coronary heart  disease .

Reducing the risks

Should you choose, on balance of risk, to try to conceive then you should prepare for pregnancy by taking folic acid supplements for at least three months before conception  and  throughout pregnancy, try to keep weight within a healthy range, eat a healthy  and  balanced diet, take exercise  and  avoid alcohol, caffeine  and  tobacco products – these are sensible steps for any woman wishing to conceive  and  have a healthy pregnancy but are especially important for women with coronary heart  disease .

Consult with your cardiologist to establish which drugs will be safest for you during pregnancy. For those who are prescribed it Aspirin is, generally safe to use. It may be that your doctor will not change your medication so it is important to discuss the risk  and  rates of potential side effects for your baby if these drugs are generally not recommended during pregnancy. Discuss whether or not you should attempt to breast feed your baby. Do not stop taking medication you have been prescribed without consulting your cardiologist.

Birth choices for women with coronary heart  disease  are limited in the extreme  and  you should be under the care of a consultant obstetrician led (as opposed to midwife led) team. You should plan to give birth in a maternity unit within a hospital. Under no circumstances should you attempt a home birth or even birth at a birthing centre though, for most women with coronary heart  disease  vaginal delivery is possible. Wear medical alert jewellery  and  carry a medical alert card in case of an emergency  and  ensure those who you spend most time with are educated in how to properly conduct CPR.

A note to all women

Certain heart  conditions , including but not limited to coronary heart  disease , have symptoms not unlike those many women experience in pregnancy such as nausea, chest pain, indigestion like symptoms  and  breathlessness. For this reason, cardiac  conditions  in pregnant women often go undetected. If you are struck by a sudden breathlessness, pain in the centre of the chest especially pain radiating to the arm or jaw seek medical attention immediately.

By Jackie A De Burca

No Comments

Sorry, the comment form is closed at this time.