Can Congenital Heart Disease Affect Pregnancy Safety? - Obstetrics and Gynecology

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Congenital heart disease (CHD) can indeed affect pregnancy safety, but the extent of the risk largely depends on the specific type and severity of the heart defect. In your case, having a heart rate that is higher than average (around 90 beats per minute) may not necessarily indicate a direct risk during pregnancy, but it is essential to consider several factors.

Firstly, it is crucial to understand that pregnancy places additional stress on the cardiovascular system. During pregnancy, blood volume increases significantly, and the heart has to work harder to pump this extra blood. For women with congenital heart defects, this increased workload can lead to complications, particularly if the heart condition is severe. However, many women with mild to moderate forms of CHD can have successful pregnancies with appropriate medical supervision.

In your situation, if your congenital heart disease is well-managed and you do not experience significant symptoms such as shortness of breath, chest pain, or severe fatigue during daily activities, you may be at a lower risk for complications during pregnancy. It is essential to have a thorough evaluation by a cardiologist who specializes in congenital heart disease before attempting to conceive. They can assess your heart function, evaluate any potential risks, and provide personalized recommendations.

Regarding your heart rate, a resting heart rate of around 90 beats per minute can be considered within the normal range for some individuals, especially if you are feeling well otherwise. However, if you notice significant changes in your heart rate, such as persistent tachycardia (heart rate over 100 beats per minute at rest), or if you experience symptoms like palpitations, dizziness, or fainting, it is essential to seek medical attention.

During pregnancy, regular monitoring of both maternal and fetal health is vital. This includes routine check-ups with your obstetrician and possibly a cardiologist. They may recommend additional tests, such as echocardiograms or stress tests, to monitor your heart's function throughout the pregnancy.
In terms of medication, if you are currently taking any medications for your heart condition, it is crucial to discuss these with your healthcare provider. Some medications may not be safe during pregnancy, and your doctor may need to adjust your treatment plan accordingly.

In summary, while congenital heart disease can pose risks during pregnancy, many women with mild to moderate forms of CHD can have successful pregnancies with proper medical care. It is essential to work closely with your healthcare team to monitor your heart health and manage any potential risks. If you have concerns about your heart rate or any symptoms you are experiencing, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.