PREGNANCY AND HEART DISEASES

Pregnancy causes many changes in the cardiac system as in many systems. The most important of these changes are; increase in blood volume, heart load, heart rate.
Until recently, many women with heart disease were advised not to become pregnant, but as a result of today's developments, many women with heart disease can have a healthy and safe pregnancy.
When planning pregnancy in women with heart disease, common opinions of the cardiologist and obstetrician should be taken. Because some heart diseases are very risky for pregnancy, women with such a heart disease are recommended not to become pregnant until their heart problems are resolved.
Pregnant women with heart disease should be in close clinical follow-up. Physical activity is restricted in almost every pregnant woman with heart disease, a high protein salt-restricted diet is recommended. It is recommended to keep the blood level of the pregnant above a certain level. Because anemia worsens heart disease. Weight gain of the pregnant is taken under control. With all these measures, the workload of the heart is tried to be reduced.
In pregnant women with heart disease, vaginal delivery is compared with cesarean delivery, vaginal delivery is better tolerated, but there are a limited number of patients who will benefit from cesarean delivery.
Early postnatal period is very important for the patient with heart disease. Blood loss should be minimized, blood pressure should be regulated and excessive fluid load that would lead to heart failure should be avoided.
Approximately 4-6 weeks after birth, changes in the cardiovascular system due to pregnancy disappear. During this period, the patient should be re-evaluated by a cardiologist. Due to the genetic transmission of certain cardiac diseases, the newborn should be carefully evaluated in detail.

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