1ST CITY CLINICAL HOSPITAL

“Two hearts in one body” is what ancient Arab doctors called pregnancy. Indeed, this wonderful condition changes the working conditions of the female body so much that the performance indicators of the entire cardiovascular system of the expectant mother differ from those of a non-pregnant woman. The work of the heart as a pump that supplies blood to the entire body becomes more intense, because The fetal blood flow joins the mother's circulatory system.

Diseases of the cardiovascular system occupy first place among all extragenital diseases during pregnancy. These are primarily congenital heart defects and arterial hypertension; approximately 3-4% of pregnant women have heart defects, and 23-25% of pregnant women have arterial hypertension (increased blood pressure).

Heart defects are divided into congenital and acquired. Approximately 90% of acquired heart defects develop against the background of rheumatism. It is especially important for women suffering from rheumatism to plan a pregnancy. A favorable prognosis for pregnancy is possible if it occurs against the background of an inactive rheumatic process.

Modern medicine has quite effective methods that allow us to assess the degree of risk associated with pregnancy and childbirth in women with heart defects. The most important method for assessing the condition of the heart, both with congenital and acquired heart defects, is ECHO KG - ultrasound examination of the heart. ECHO KG is harmless.

Additional studies include ECG, ultrasound of large vessels, HM-ECG if indicated. When planning a pregnancy, a woman should contact her local physician, who will prescribe the necessary examinations. With the results - a consultation with a cardiologist for a final conclusion about the possibility of pregnancy and the degree of risk for the woman and the unborn child.

Currently, women with complex heart defects have the opportunity to give birth after surgical treatment. However, you should remember: you can plan a pregnancy with the positive effect of the operation after 1 year.

If the pregnancy is unplanned, then when the fact of pregnancy is established in the first weeks (up to a maximum of 12 weeks), the woman must undergo an ECHO KG (ultrasound of the heart), an ECG, followed by consultation with a cardiologist about the possibility of continuing the pregnancy.

A woman with an established diagnosis of arterial hypertension (AH) before pregnancy when planning pregnancy should undergo the most complete examination, which includes: ECG, ECHO,

24-hour blood pressure monitoring (ABPM), fundus examination, kidney ultrasound, general blood and urine tests, biochemical blood test with mandatory determination of urea and creatinine.

Particular attention should be paid to pregnancy planning if this is the first pregnancy, if you are under 20 years of age, over 35 years of age, if you are overweight or obese, if the age of the father of the unborn child is over 35 years of age, if the woman has diabetes mellitus or kidney disease.

When pregnancy occurs in a woman with hypertension receiving antihypertensive drug therapy, treatment must be adjusted so as to achieve normalization of blood pressure (target values ​​130/80 - 135/85 - 140/90), while refusing to take drugs that are safe for the unborn child not proven. The problem of increased blood pressure before pregnancy and during pregnancy should be taken as seriously as possible in order to avoid serious complications for the woman and the unborn child. Today, lowering blood pressure to normal when planning a pregnancy is possible during pregnancy; it is necessary to listen to and follow the prescriptions of doctors managing the pregnancy.

The situation with increased blood pressure is serious and a woman should be aware of this.

You need to prepare for pregnancy, preferably 2-3 months before the expected conception.