A normal, healthy heart is well-equipped to manage the changes that occur in pregnancy. It rises to the occasion – pumping more blood to the uterus, increasing heart rate as needed.
During pregnancy, any activity that increases heart rate does carry more of an impact than it would regularly. Still, it’s completely healthy for women to pursue active lifestyles during those nine months. Take note of any abnormal symptoms, and talk to your OB/GYN if you’re aware of any existing heart conditions.
Peripartum cardiomyopathy, also known as postpartum cardiomyopathy, is an example of a heart condition that develops due to pregnancy. It’s quite rare, but here at Catholic Health, we believe the more informed patients are, the more confident you will be having important conversations with your doctor.
What Are Symptoms of Peripartum Cardiomyopathy?
One reason this condition can be so alarming is that its symptoms are not incredibly telling. Onset so late in pregnancy is difficult due to the fact that signs may masquerade as normal pregnancy side effects. These include:
- Fatigue
- Feeling like the heart is racing or skipping beats
- Shortness of breath when laying down
- Swollen ankles
- Swelling of the neck veins
- Sometimes, low blood pressure
Women who experience peripartum cardiomyopathy do not efficiently pump blood to their vital organs. The goal in a cardiologist’s treatment plan is to avoid the buildup of extra fluid in the lungs.
“Pregnancy is one of the most amazing things to experience, I know it was for me, but it’s so important to remember you need a healthy mom to have a healthy baby. And the reality is there are risks and complications that can occur, including cardiovascular ones. It’s so incredibly important to get regular prenatal care and schedule follow ups with your doctor. Trust your own body and instincts when you feel something is wrong.”
Lauralee Sprague, MSN, FNC-P – Cardiology, Trinity Cardiology
Additional Pregnancies After Peripartum Cardiomyopathy
The decision to birth additional children should be guided by the patient’s cardiologist and OB/GYN. If heart function does not return to normal, additional pregnancies are not recommended, as this may cause further heart damage.
Even with a full recovery, there’s still a risk that this will recur in ensuing pregnancies. However, additional pregnancies may possibly be attempted with close monitoring of the heart.
Schedule a Visit with Lauralee Sprague
Lauralee M. Sprague, MSN, FNP-C, is a board certified family nurse practitioner with a special interest in cardiology. She sees patients at 27 Franklin Street in Springville.To schedule an appointment with Lauralee, call (716) 923-2770.
