Pregnant women with heart disease should give birth 40 weeks after delivery, more than the mother can harm, is recommended by the European Society of Cardiology (ESC).
In addition to pre-pregnancy risk assessment and counseling, a delivery plan should be drawn up at 20-30 weeks, indicating vaginal or caesarean section delivery, whether an epidural or forceps will be used, and the duration of hospital stay after delivery, according to the guidelines.
"Pregnancy is a risky period for women with heart disease because it puts extra stress on the heart, so advise the guidelines to induce labor or caesarean section after 40 weeks," said Jolien Roos-Hesselink, professor at the Erasmus University in Rotterdam, The Netherlands .
"After 40 weeks, pregnancy has no extra benefit for the baby and can even have negative effects", Roos-Hesselink added.
Heart disease is the main reason why women die in Western countries during pregnancy because they have a 100 times greater risk of death or heart failure than their healthy peers.
An estimated 18-30 percent of offspring has complications and up to 4 percent of newborns die.
The new guidelines, published in the European Heart Journal, also recommended against in vitro fertilization (IVF), contraception and termination of pregnancy for women with heart disease.
Because IVF often uses high doses of hormones, the risk of thrombosis and heart failure increases, so women with heart conditions need confirmation from a cardiologist.
"Since wearing more than one baby puts more stress on the heart, women with a heart condition who undergo IVF are strongly advised to transfer one embryo," according to the guidelines.
Although women with heart disease can have a healthy pregnancy, they should be aware of a higher risk of obstetric complications, including premature birth, preeclampsia and postpartum bleeding.
In addition, girls with congenital heart disease should seek advice before using contraceptives, as some methods are contraindicated in patients with certain types of heart disease, according to the guidelines.
ASJ / rt / mag / sed
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