During pregnancy, a multitude of hormonal changes occur to support fetal growth and maternal health. These changes can lead to increased heart rate and fluid retention, putting stress on the heart. This stress is compounded by the physical demands of labor and delivery.
Lauren Hassen, MD, cardiologist and clinical assistant professor, The Ohio State University College of Medicine’s Division of Cardiovascular Medicine
Dr. Hassen emphasizes the importance of discussing pre-existing health conditions with healthcare providers before pregnancy. Regular check-ins with doctors during and after pregnancy can help manage potential health changes.
“Conditions that may arise during pregnancy, such as gestational hypertension, preeclampsia, gestational diabetes, and premature delivery, can significantly increase the long-term risk of heart disease,” Hassen notes.
Preeclampsia, a condition characterized by high blood pressure and other symptoms, has been linked to a higher risk of heart disease and stroke. Patients with preeclampsia may develop cardiac issues up to a decade earlier than those without the condition.
Collaborative Care with a Cardio-Obstetrics Team
Laura Lima de Souza, 38, from Reynoldsburg, Ohio, relied on Ohio State’s cardio-obstetrics team during her pregnancy. Diagnosed with vascular Ehlers-Danlos Syndrome, a connective tissue disorder that can complicate pregnancies, Lima de Souza required specialized care.
A cardio-obstetrics team typically includes obstetricians, cardiologists, anesthesiologists, maternal fetal medicine specialists, geneticists, nurses, and pharmacists. These professionals work together to create a comprehensive care plan that addresses cardiovascular health throughout pregnancy, delivery, and postpartum recovery.
Ohio State’s cardio-obstetrics team monitored Lima de Souza closely, considering risks such as uterine rupture and blood clot formation, as well as her age. They determined the optimal time for her Caesarean section and ensured her entire medical team was ready in case of complications. Post-delivery care took place in Ohio State’s Richard M. Ross Heart Hospital, with her newborn receiving specialized neonatal care in the nursery.
“My risk management strategy during pregnancy involved a multidisciplinary team, including an OB/GYN, a high-risk pregnancy specialist, a cardiovascular surgeon, a cardiologist, and a counselor, whom I have seen for 13 years,” Lima de Souza shared. “Additionally, I practiced stress management techniques such as journaling, mindfulness, meditation, and maintained a healthy lifestyle through exercise and proper nutrition.”
Postpartum Care: The Fourth Trimester
Recognizing the importance of postpartum cardiovascular health, Ohio State recently launched the Cardiology Postpartum Transition Clinic, focused on addressing the cardiovascular needs of postpartum women, often referred to as the “fourth trimester.”
Dr. Hassen is part of a research team investigating various methods to manage blood pressure postpartum. Their study, funded by a $12.5 million grant spanning three states, aims to enhance the understanding and treatment of postpartum cardiovascular health.
Today, Lima de Souza has two healthy children and remains attentive to her health, scheduling regular checkups and undergoing full-body MRI screenings every two years to monitor her vascular system.
“It’s crucial to address any health concerns promptly. If something feels off, seek medical attention. Don’t hesitate to ask questions, and remember, you’re not alone in navigating these challenges,” Lima de Souza advises.
Conclusion
Pregnancy brings both exciting and challenging times for both the mother and the baby. By understanding the potential risks to heart health and seeking expert care, women can better manage their health during and after pregnancy. A collaborative approach involving specialists can significantly improve outcomes, ensuring maternal and fetal well-being.
“When it comes to your health, if something doesn’t feel right, have it checked out. Ask questions and remember that you’re not alone. It’s the unknown where you don’t want to be.”
Laura Lima de Souza
We encourage readers to share their experiences or ask questions about pregnancy and heart health. Your insights could help others navigate their journey.
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