Becoming a mother is the most primitive instinct of animals, and the radiance of motherhood has also shone on many people. However, some pregnant women's physical health conditions are not suitable for pregnancy, such as heart disease, which is one of the most dangerous diseases in pregnancy and may affect the lives of pregnant women and fetuses. So when is the most dangerous period for pregnancy complicated with heart disease?
The most dangerous period for pregnancy complicated with heart disease
1. Pregnancy: During pregnancy, the total blood volume increases by about 30-40%, especially reaching its peak at 32-34 weeks, when the burden on the heart is also the heaviest.
2. Delivery period: The increase in cardiac burden during delivery is more significant. About 300-500ml of blood enters the central circulation from the uterine wall during each contraction. In addition to uterine contractions, the abdominal and skeletal muscles also contract during the second stage of labor. In addition, the forceful exhalation during labor increases the pulmonary/abdominal pressure, and the burden on the heart is heaviest at this time. The placental circulation stops during the third stage of labor. Easy to cause heart failure; On the other hand, due to a sudden decrease in intra-abdominal pressure, a large amount of blood is trapped in the visceral vascular bed, resulting in a severe reduction in circulating blood and peripheral circulatory failure.
3. Puerperal period: within 1-3 days after delivery, the water trapped in the tissue enters the blood circulation, causing another temporary increase in the blood volume of the systemic circulation, aggravating the heart load, and returning to normal four to six weeks after delivery.
How to care for pregnancy complicated with heart disease
1. Strengthen prenatal care
The frequency and timing of regular prenatal check ups or home visits can be determined based on the specific condition of heart function. Simultaneously receiving joint monitoring from cardiovascular and obstetric high-risk clinics to understand cardiac function and fetal condition, providing specific guidance on the patient's diet, lifestyle, and compliance with medical orders.
2. Ensure a quiet resting environment and fresh air
Ensure a daily lunch break and get at least 10 hours of sleep each day to maintain a regular lifestyle. When sleeping, it is advisable to adopt a left or semi recumbent position, providing a good support system to assist in sharing household chores, avoiding overwork, and preventing excessive emotional excitement.
3. Strengthen guardianship
Because the patient is a pregnant woman, it is very important to strengthen fetal monitoring during this period, and also to monitor the heart of the pregnant woman. If you feel chest tightness in the middle of the night and need to open a window to breathe fresh air, or cough, spit pink foam sputum and other symptoms are early manifestations of heart failure, you should immediately seek medical advice
4. Psychological care
The mental state and prognosis of pregnant women with heart disease are closely related. Patients should be encouraged and comforted to avoid adverse mental stimuli, patiently explain the condition to pregnant women and their families, and explain hospital medical equipment and medical techniques to eliminate concerns as much as possible, reduce fear or anxiety levels, provide psychological support, and increase pregnant women's sense of security.
If a woman suffers from heart disease, it is medically not recommended to conceive, but it is recommended that the maternal instinct of animals cannot be overcome. If a heart disease patient really wants to conceive a small life of their own, they must undergo various examinations and make preparations and precautions during pregnancy in order to safely pass through the dangerous period.
