A pregnant woman has a heartache that can be taken. Rules of conduct in case of pain in the heart in a pregnant woman. When the resulting pain in the heart is dangerous for a pregnant woman

Complaints of soreness in the heart, tingling sensation and discomfort accompany many pregnant women. These symptoms do not mean that a woman is developing a serious pathology, but their presence cannot be ignored.

Can pregnancy cause heart disease

Pregnancy puts a lot of stress on circulatory system and the body of a woman, she is not able to provoke the development of cardiac diseases, if any were not observed before the conception of a child. Any pain that is not associated with cardiopathologies is considered physiological and is caused by an increase in the uterus.

The period of bearing a baby provokes the development of chronic diseases. In the presence of serious heart disease, a woman should consult a cardiologist at the stage of conception planning and receive appropriate recommendations. With defects (at the stage of decompensation), rheumatic heart disease, myocardial dystrophy, as well as malignant hypertension, severe arrhythmias and cardiomyopathy, conception is not recommended.

These diseases are accompanied by severe pain, shortness of breath, swelling, severe fatigue, arrhythmia of heart contractions, pathologically high blood pressure. This condition threatens the health of the pregnant woman and the development of the fetus. The baby constantly receives less oxygen from the mother's blood, which is fraught with fetal hypoxia, the formation of severe developmental anomalies, and congenital heart pathologies.

Is the pain in the heart of the mother dangerous for the unborn child

Violation of normal well-being future mother- a potential source of danger to the baby. If the mother has an exacerbation of chronic cardiac pathology, she needs to be accompanied by a cardiologist and an obstetrician-gynecologist who monitors the pregnancy. He will control the development of pathology, as well as the condition of the growing baby. If maternal health problems are serious (preeclampsia, anemia, cardiomyopathy), are not detected in time and are not treated, the fetus may develop oxygen starvation (hypoxia).

A significant lack of oxygen in the blood flowing to the baby threatens to disrupt the functioning of his heart, as well as pathologies in the development of the brain, internal organs. Severe violation of the blood circulation of the fetus provokes premature birth.

Lack of oxygen during fetal development does not always cause serious congenital pathologies. Signs of hypoxia in healthy child: nervous excitability, noted in the first years of a child's life, inability to concentrate, frequent colds, weakness of the immune system.

Physiological pain syndrome associated with the growth of the fetus is not dangerous to his health. The risk is only unjustified self-treatment undertaken by a woman to eliminate it.

Causes of pain

Why does heart pain occur?

The main reason why the heart begins to hurt at the beginning of pregnancy is a significant increase in the load on this organ. On early dates(1st trimester) hormonal changes begin, leading to an increase in the amount of blood. The child constantly increases the need for nutrition, which provides him with a placental circle of blood circulation. Developing, the baby requires more oxygen supplied to him by blood cells.

The cardiovascular system generates and pumps an increased amount of blood. The increased load is manifested by a drop in vascular tone, their expansion, spastic contractions, changes in the coronary arteries, therefore, heart pain appears in the early stages of pregnancy, accompanying some expectant mothers throughout the entire period of bearing a baby.

Other reasons:

  • Mechanical compression causes pain in the heart during pregnancy. A growing child needs more space. Increasing in size, the uterus compresses the pulmonary artery and diaphragm. For this reason, many expectant mothers later dates, complain that they cannot sleep lying on their left side at night. This also leads to the fact that a woman in " interesting position”The left hand goes numb, the heartbeat quickens.
  • Load on the spine due to the growing size of the uterus, causes discomfort on the left in the region of the heart, which manifests itself at 6-9 months. From the second trimester, the load on the thoracic and lumbar regions increases, the roots are compressed spinal cord. Spinal pains are given to the left side of the sternum, it hurts under the ribs, so they can be easily confused with cardiac pathology.
  • Vitamin B deficiency. It is also to blame for the fact that the expectant mother experiences discomfort in the left side of the chest (at the same time, it seems to her that her heart has begun to bother), due to a lack of vitamin B, which provokes a violation of metabolic processes in the nervous tissue.
  • Preeclampsia. Swelling of the limbs and organs causes an increase in blood pressure and pain in the heart muscle. This condition requires an urgent appeal to the observing gynecologist.
  • Anemia. Iron deficiency in the blood causes tingling, shortness of breath, fatigue.

The occurrence of physiological pain syndrome is affected by the age of the mother, her body weight, and blood pressure indicators.

What are the pains during pregnancy

Pain in cardiology is divided into:

  • Ischemic. They are provoked by physical, emotional stress causing insufficient coronary blood flow. Painful sensations burning, pressing, "squeezing" the left side of the sternum. They radiate to the shoulder, left arm, chin, or shoulder blade.
  • Cardialgia caused by defects, vegetative-vascular dystonia, inflammation. Characterized by spilled, piercing and aching sensations in the chest. Aggravated by coughing and deep breathing.

The nature of the sensations allows you to determine the cause of the condition and choose the tactics of treatment.

Why you should see a doctor

If before conception the girl had no cardiac pathologies, and unpleasant symptoms in the form of slight tingling, discomfort and heaviness are noted due to fatigue, being in a stuffy room, an uncomfortable sleeping position and are not accompanied by an increase in blood pressure, then heart tingling and a feeling of slight tightness in the chest at night are considered not dangerous and do not require a visit to a specialist .

Pain and discomfort should never be ignored.

It is necessary to call a doctor if they are accompanied by:

  • puffiness;
  • pressure increase;
  • tightness behind the sternum;
  • shortness of breath;
  • feeling that the stomach hurts (uterine tone);
  • increased sweating.

Contact a specialist for pain necessary in any case. Even if they are not associated with serious health problems, it is important to make sure that the change in the mother's condition does not harm the child.

The reason for the appeal is the sick heart of the expectant mother. Knowing about the presence of cardiac pathology, she must see a specialist in order to avoid negative consequences for the child and so that the period of bearing the crumbs is not overshadowed by complications.

Experts recommend that if you experience the slightest pain in the heart during pregnancy, you should immediately seek the advice of a doctor. Pain does not always carry symptoms of a serious disease and pathologies. However, there is a possibility, and instead of guessing, it will be more reliable for the health of the future mother of the baby to turn to a cardiologist for help. The sooner this happens, the calmer the pregnant woman will be.

Reasons for contacting a specialist if there are pains in the heart during pregnancy:

  • an increase and stretching of the abdomen growing throughout the entire period can be one of the causes of pain in the heart area, since the tummy begins to gradually press on the chest, thereby causing aching pain.
  • during pregnancy, a woman's weight increases significantly, the heart begins to work twice as fast. The extra weight puts more stress on the heart muscle. He now needs to work for two. Therefore, it is strictly forbidden to be nervous.
  • if tingling, aching pains are felt to the left of the ribs, or on the left side of the shoulder blades - such symptoms may indicate intercostal neuralgia or vegetatively vascular dystonia. Not for an unborn child serious reasons for excitement, but his mother, on the contrary, should make an appointment with a specialist.
  • pain in the heart during pregnancy of a aching and blurry nature can be triggered by a sharp change in the weather: sudden rain, magnetic storms, temperature fluctuations, jumps atmospheric pressure.
  • a commonplace cause that causes discomfort and pain on the left can be an uncomfortable posture. You just need to try to change your position, the pain should immediately stop bothering you.
  • pain syndrome may also be a harbinger of anemia during pregnancy. Therefore, it is necessary to start taking vitamins that contribute to replenishment in female body necessary trace elements and vitamin complexes, which include "iron". Its deficiency may manifest itself in dark circles under the eyes and pale skin. Iron is found in all dairy products, eggs, green leafy vegetables, fruits, etc.
  • during pregnancy, it is necessary to protect health from drafts, not to overcool in winter and avoid direct sunlight in hot weather summer time. It can also affect heart pain and subsequent gestation.
  • hypertension (high blood pressure) in expectant mothers can also contribute to sharp or stabbing pain in the heart area. In the event that swelling of the legs and constant headaches are observed during hypertension, then it is urgently necessary to undergo all examinations and pass necessary tests. But, most likely, the doctor will prescribe treatment in a hospital.
  • angina is quite common in pregnant women. The disease is not threatening, but you still need to see a specialist.
  • a heart attack and a pre-infarction condition can cause sudden and sharp pain in the heart muscle. Then the count goes on for seconds. IN similar cases Unfortunately, termination of pregnancy is inevitable in order to save the mother's life. But this happens very rarely.
  • stress, worries - all this can also aggravate the situation, becoming a precursor to pain in the heart during pregnancy. It must be remembered that nothing and no one should cause the experiences and nerves of the expectant mother. After all, now she is responsible for herself, and 100% for small miracle that lives in her tummy.

Be that as it may, if a sudden or constant aching, pulling, stabbing pain in the heart is found, it is better to consult a specialist. So the woman will be calmer for own health and health of the unborn child.

Prevention of pain in the heart during pregnancy

If, nevertheless, the heart hurts slightly during pregnancy, and this does not aggravate her health and, in general, future motherhood, you need to know what needs to be done in order to at least somehow reduce the pain in the heart.

First of all, you need to try to relax and calm down, in without fail excluding all bad thoughts. You can brew a cup of soothing tea, then get some sleep.

The period of bearing a child is the most joyful and at the same time the most responsible time. For 9 months, the body of the expectant mother experiences an increased load. All systems and organs function "for two". The heart of a pregnant woman works especially hard in the second and third trimester, because the volume of blood circulating in the body and the speed of its movement increase. Therefore, sometimes a woman in a position experiences pain in the region of the heart. How dangerous is it for the baby in the mother's tummy? And what about a woman who first felt pain in her heart during pregnancy? Let's figure it out.

Causes

In most cases, pain in the heart of a pregnant woman appears due to changes that occur with the body in the process of bearing a baby. In the second trimester, the ever-growing uterus begins to put pressure on the organs. abdominal cavity, in particular on the diaphragm. This leads to the fact that the heart rate increases, and accordingly the heart works with an increased load. Naturally, in such conditions, the "motor" of the expectant mother gets tired and reports this slight tingling, a feeling of discomfort and heaviness in the chest on the left side. If such sensations in the region of the heart appear occasionally, then they do not pose a danger to the health of the woman and her baby.

Also, external causes can lead to the appearance of pain in the region of the heart, for example:

  • a sharp change in weather conditions;
  • high air temperature in the room or on the street;
  • being in a stuffy room;
  • uncomfortable posture of the body during sleep or work.

Usually after labor activity such pains go away on their own, therefore, in most cases, doctors do not prescribe any treatment for women in the position, they recommend more rest and not overworking. Despite this, it is still worth doing an ultrasound of the heart in order to make sure that everything is in order with the expectant mother.

In no case during pregnancy should one ignore such a symptom as pain in the heart, because they may indicate that the expectant mother develops preeclampsia. With an increase in blood pressure, a woman in position may feel pressing pain in the chest area on the left side, which is given to the left shoulder, left shoulder blade and chin. If such a feeling is accompanied by swelling of the legs and a headache, then the expectant mother needs to visit a doctor as soon as possible and do an ultrasound of the heart. A pregnant woman also needs to be aware that a decrease in the level of hemoglobin in the blood can lead to pain in the area of ​​\u200b\u200bthe heart muscle. With anemia, the supply of oxygen to all internal organs worsens, and the myocardium reports this with a dull pulling pain behind the sternum.

Another cause of pain is cardiomyopathy. This pathology can develop in women who previously did not have any diseases. of cardio-vascular system. It usually appears in the third trimester, and in some cases immediately after the birth of the baby. If cardiomyopathy is suspected, the doctor will prescribe an ultrasound of the heart to the pregnant woman in order to assess the severity of the condition and prescribe adequate treatment. In most cases, timely diagnosis and effective treatment allow a woman to safely carry the pregnancy and give birth (in some cases, a caesarean section is prescribed) healthy baby.

Regardless of what caused the pain in the heart, a woman should understand that no self-treatment in this situation is unacceptable, since it endangers the health and life of her and the child. Expectant mother must as soon as possible, should visit a doctor and undergo an examination to determine the exact cause of pain in the chest area. Only a cardiologist, having studied the description of an ultrasound of the heart, can conclude what is the cause of the pain, and how dangerous this condition is for a woman and her baby. If necessary, the doctor will prescribe a course of treatment for the expectant mother to maintain the working capacity of the heart muscle and improve blood circulation.

Pregnancy and heart disease

Heart disease is not a contraindication to childbearing and labor. The current level of development of medicine makes it possible to accurately predict the level of risk of pathologies that are dangerous for the health of a woman and a child. Throughout the entire period of bearing a child, the expectant mother will need to regularly visit a cardiologist and undergo diagnostic examinations. In most cases, in the presence of a heart disease in a pregnant woman, they are prescribed to undergo an examination at least three times:

  1. for up to 12 weeks, in order to assess the state of the cardiovascular system and the heart in particular and decide on the possibility of carrying a pregnancy;
  2. from 28 to 32 weeks, during a period when the load on the heart increases significantly, in order to determine how much the "motor" copes with its function;
  3. 2 weeks before the expected date of delivery, in order to decide on the method of delivery (independently or by caesarean section).

One of the main methods for assessing the state of the cardiovascular system is an ultrasound of the heart. As additional research a woman expecting a baby is prescribed electrocardiography, phonocardiography and dopplerography. Based on the results of the examination, the cardiologist assesses the condition of the heart muscle of the pregnant woman and, if necessary, prescribes drug treatment to normalize blood circulation. The decision on what medications and in what dosages the expectant mother should take is taken only by a cardiologist, while he necessarily takes into account the severity of circulatory disorders and the duration of pregnancy.

The time of waiting for a child is the happiest and most responsible. During this period, often even ordinary physiological processes don't proceed as usual. All important organs work with an increased load - after all, now it is necessary to provide everything necessary not only for the mother, but also for her baby. Therefore, there is nothing surprising in the fact that periodically there is discomfort and pain in different organs, including in the region of the heart.

Are all pains in the heart during pregnancy dangerous?

In most cases, pain in the heart during pregnancy is associated precisely with changes in the mother's body, and after childbirth disappear without treatment. But these symptoms should not be ignored either. after all, if pain appears, it means that the body tells you that you need to pay attention to your well-being. This will help to identify the pathology in time, if any, and take all necessary measures.

When pain in the heart is not dangerous

During pregnancy, the weight of the expectant mother is constantly growing. The uterus and placenta increase, another circle of blood circulation appears and the volume of circulating blood increases. In the second half of pregnancy, due to the growing uterus, the location of the abdominal organs changes, pressure on the diaphragm increases, which, in turn, "presses" on the lungs and mediastinum. Under such conditions, the heart works with a double load, the heart rate increases. Therefore, there is nothing surprising in the fact that pain symptoms appear - the mother's heart "gets tired" more than usual. In such "physiological" pains, there is nothing dangerous for mother and baby, if these phenomena appear occasionally, and there are no other symptoms.

Symptoms of "slight tingling", heaviness and discomfort in the area of ​​​​the heart can be caused and external causes:

    - Uncomfortable posture during work or body position during sleep;
    - stuffy room, heat;
    - weather changes.

This can cause short-term disturbances in the supply of oxygen to the heart muscle and brain, which causes symptoms of discomfort in the heart area. And, although such conditions do not pose a serious danger to the mother and child, you should definitely inform the doctor about your well-being and, if necessary, undergo an additional examination.

Often pain in the heart is called pain caused by intercostal neuralgia. This is a sudden acute cutting pain on inspiration, not accompanied by a change in consciousness, against the background normal pressure. Such pain lasts for several seconds, intensifies with movement and disappears without the use of medications. This often happens during times of stress. during physical activity or sudden movement. This condition does not pose a danger to the baby, but a consultation with a neurologist will not be superfluous, as it may indicate osteochondrosis thoracic spine.

When heart pain during pregnancy is a symptom of a serious illness

Despite the fact that all pregnant women experience heart pain, serious primary cardiopathology during pregnancy is not often diagnosed. This is mainly due to the fact that when planning a pregnancy, a woman undergoes a comprehensive examination, and if there are problems with the cardiovascular system, a decision on a possible pregnancy is made jointly with a cardiologist.

However, there are complications of pregnancy and accompanying illnesses, among the symptoms of which there is pain in the heart.

Often the cause of pain in the heart is preeclampsia. With an increase in blood pressure, there is not only a headache. but also pain in the region of the heart. Pressing, squeezing pain behind the sternum, radiating to the left shoulder blade, left shoulder or chin, on its own or in combination with a headache or swelling of the legs, is a reason to immediately call a doctor. since the consequences for the pregnant woman and her child can be serious.

The most common extragenital pathology, accompanied by pain in the heart, is anemia of pregnant women. To the increasing load on the heart, a decrease in myocardial oxygen supply is added. As a result, tachycardia intensifies, the woman experiences constant discomfort in the region of the heart, later a dull nagging pain on the left behind the sternum, severe weakness. dyspnea. These problems can be avoided by regular visits. women's consultation and timely donate blood for analysis. Then your doctor will notice in time that the level of hemoglobin is decreasing, and will prescribe the appropriate treatment.

Cardiomyopathy is a dangerous extragenital pathology

One of the rare but serious complications of pregnancy is gestational cardiomyopathy. This pathology develops in women who previously did not have heart disease, in the third trimester or immediately after the birth of a child. The reasons for the development of this complication are not known for certain, but autoimmune processes and a violation of the body's adaptive capabilities play a significant role.

Symptoms of cardiomyopathy include:

    - pain in the heart of a different nature - pressing, dull, sharp;
    - palpitations and tachycardia;
    - arrhythmia;
    - shortness of breath and severe weakness;
    - swelling of the legs.

Symptoms of heart failure are increasing, the condition is getting worse and immediate medical attention is required.

Predicting the development of cardiomyopathy before pregnancy and in the first trimester is very difficult. But if a woman is over 30 years old, has problems with being overweight, has a multiple pregnancy, has problems with arterial hypertension or a previous pregnancy was complicated by cardiomyopathy, then the pregnant woman is at risk. If necessary, the doctor will prescribe additional examinations- ECG, ultrasound of the heart and prescribe treatment.

The prognosis for the mother depends on the severity of the cardiomyopathy. At timely diagnosis and treatment in most cases, pregnancy is resolved safely, and symptoms and organic changes disappear within 6 months after delivery. In severe cardiomyopathy, the decision on delivery is made taking into account the condition of the mother and child.

For a child, mother's cardiomyopathy, which develops in the third trimester, is fraught with impaired blood supply to the placenta and fetus, oxygen starvation, developmental delay and premature birth.

What are the pains in the heart during pregnancy

When an expectant mother complains that her “heart hurts”, she can mean by this a variety of pains caused by the most different reasons. So, what is the pain in the heart? By medical classification pain in the heart is divided into:

    - Anginal (ischemic) pain. arising from insufficient coronary blood flow during physical or emotional stress;
    - cardialgia. caused by heart defects, inflammatory diseases or vegetative-vascular dystonia.

These pains differ not only in origin, but also in character. Ischemic pain is characterized by pressing, burning, squeezing pain behind the sternum, radiating to the left shoulder, shoulder blade or chin. Well stopped by nitroglycerin. Very severe, unbearable ischemic pain is characteristic of myocardial infarction, but this is an extremely rare case for pregnant women.

Cardialgia is characterized by prolonged aching, stabbing, diffuse pains to the left of the sternum, aggravated by coughing and breathing.. Nitroglycerin in this case is ineffective, but conventional painkillers bring temporary relief.

Therefore, it is very important for the doctor to know what kind of pain this is in nature - the subsequent tactics in diagnosis and treatment depend on this.

What is dangerous pain in the heart during pregnancy for the fetus

The main danger for the child is not the pain in the mother's heart itself, but the disease that caused this pain, and the severity of the condition of the pregnant woman. Some diseases - for example, anemia or preeclampsia. lead to poor blood supply to the placenta and fetus. Accordingly, there are possible oxygen starvation, fetal growth retardation. malnutrition, encephalopathy. In other, more severe cases, the development of a serious pathology can put doctors before a choice - pregnancy or the life of a woman. Fortunately, such situations modern development medicines are extremely rare.

What to do if your heart hurts during pregnancy

The most important thing that every expectant mother needs to remember is no self-treatment. When pain in the heart appears, you do not need to take it yourself, without a doctor's prescription, no drugs - the benefits of taking them are doubtful, but harm can be done to the baby - even the usual Valocordin or Corvalol strictly contraindicated during pregnancy .

When a strong discomfort or pain in the heart area it is necessary to sit down or lie down, calm down, provide access to fresh air, unfasten clothes. In most cases, this is enough for the pain to go away, but in any case, a doctor's consultation is necessary. If acute ischemia is suspected, before the ambulance arrives, you can take a Validol tablet.

In each case, the doctor will prescribe drugs based on the underlying disease. Drugs such as Riboxin, ATP-long, Kratal, Panangin, valerian extract and others are prescribed only after examination and comparison of the expected benefits for the mother and possible harm for the fetus.

Prevention of pain in the heart during pregnancy

The basis for the prevention of pain in the heart for the expectant mother should be a healthy balanced diet. Be sure to include foods rich in potassium, calcium and fatty acids in the menu: bananas, dried apricots, raisins, as well as nuts, sea ​​fish. dairy products, asparagus, broccoli and Brussels sprouts.

Moderate physical activity. daily walks to fresh air And positive mood will help not only improve the condition of the cardiovascular system and prepare the mother's body for childbirth, but also help control weight.

And remember! Pregnancy is not the time to experiment. And pain in the heart during pregnancy - even more so. Therefore, no self-medication and uncontrolled intake of drugs. And any suspicious symptoms should be discussed not with friends, but with your doctor.

Materials: http://ya-mamochka.com/boli-v-serdce-pri-beremennosti/

razvitielife.ru

The nature of pain in the heart during pregnancy


Pain in the region of the heart during pregnancy serves as the basis for a comprehensive examination of a woman and a consultation with a cardiologist.

Pain in the heart during pregnancy can have a different origin and, in this regard, are different in nature.

Anginal pain

Such pains are caused by an increased load on the heart, which is provoked by physiological changes in the body of a pregnant woman, mental or physical activity. They are caused by myocardial ischemia (insufficient blood supply to all structures of the heart).

Angioedema pains are as follows:

  • pressing;
  • burning;
  • contracting;
  • radiating to the left shoulder blade, shoulder or chin.

If all these signs of pain are intense, then its appearance may indicate a myocardial infarction. This serious condition extremely rare in pregnant women.

Cardialgia

Such pains are caused by vegetovascular dystonia, defects and inflammatory diseases of the heart. They can occur at any time, but are more often provoked by an increase in the load on the heart.

Cardialgia are as follows:

  • long;
  • stabbing;
  • aching;
  • spilled;
  • localized to the left of the sternum;
  • aggravated by breathing, sneezing or coughing.

When such pains appear, a pregnant woman should contact a cardiologist as soon as possible and be sure to notify her obstetrician-gynecologist of their appearance.


When is the pain in the heart area not dangerous for a pregnant woman?


Pain in the region of the heart may not be associated with cardiac pathology. This will be revealed by the doctor during the examination.


Pain in the heart due to physiological changes in the body of a pregnant woman

The causes of physiological and non-threatening pain in the heart during pregnancy can be such changes in the body of a woman:

  • weight gain, which forces the heart to work faster and leads to myocardial ischemia;
  • the emergence of a new circle of blood circulation between the placenta and the child, which also creates an additional load on the heart muscle and increases the volume of circulating blood;
  • the uterus that has grown by the second half of pregnancy begins to compress not only the abdominal organs, but also increases pressure on the diaphragm, which also hampers the work of the lungs and mediastinum.

All these above reasons lead to an increase in the load on the heart, and it begins to contract faster. It is tachycardia that causes pain in the heart. If they occur only periodically, are not intense and quickly pass on their own, then there is no reason for concern. In such cases, the pregnant woman can simply inform the obstetrician about them by phone or during a visit to him.

Except internal changes in a woman's body, pain in the heart can be provoked by some external factors leading to myocardial hypoxia. These include:

  • prolonged stay in a poorly ventilated area;
  • uncomfortable posture during sleep or work;
  • high air temperature;
  • fast walk;
  • nervous tension.

These external factors also lead to myocardial ischemia, and some of them can provoke a short-term increase in blood pressure, which also causes an increased load on this organ. The pain in the heart caused by such conditions is not a threat to the pregnant woman and the unborn baby, but a woman should try to avoid exposure to these causes and report such conditions to her doctor, who, if necessary, will prescribe an additional examination.

Pain in the heart due to diseases of other organs

Sometimes during pregnancy, women experience pain in the heart area, which is caused by diseases of other organs:

  • intercostal neuralgia- a woman has severe pain that disappears after a few seconds;
  • osteochondrosis thoracic spine - a woman has pains of a different nature and they may be associated with an uncomfortable posture or a sudden movement;
  • myositis- a woman has sharp pains after hypothermia;
  • anemia and other blood diseases - a woman develops heart pain, shortness of breath, weakness, which are difficult to associate with some external factors, and when not enough oxygen, they are enhanced.

Such pains in the region of the heart are not dangerous for a woman and her unborn child, but can significantly disrupt general state health and psyche. When they appear, it is necessary to contact a therapist who, given the fact of pregnancy, will determine the diagnosis by prescribing additional research methods. After that, he will be able to refer you to a consultation with a neurologist or hematologist to draw up an effective tactic for treating the disease.


When are pains in the region of the heart dangerous for a pregnant woman?

Pain in the heart during a planned pregnancy, which can be dangerous for the bearing of the fetus and the health of the expectant mother, occurs infrequently. This is due to the fact that when planning a conception, women go through comprehensive examination, the results of which allow making a decision on the advisability of pregnancy in this moment with a cardiologist. In such cases, in order to prepare for carrying a child, the doctor, if cardiopathology is detected, will recommend a course of treatment that will be aimed at preventing complications.

In cases of unplanned pregnancy, heart pain most often occurs with the development preeclampsia (late toxicosis). This complication is accompanied by edema and an increase in blood pressure, which provokes headache and pain in the region of the heart. Such a load on the myocardium can be life-threatening for the expectant mother and fetus. The following symptoms may be a signal to call an ambulance in such situations:

  • pain behind the sternum of a compressive or pressing nature;
  • irradiation of pain in the left arm, shoulder, shoulder blade or chin;
  • headache;
  • swelling of the lower extremities.

Another complication of pregnancy, accompanied by pain in the heart, can be cardiomyopathy. This disease develops unexpectedly in the third trimester or immediately after the birth of a child. The reasons for its appearance have not yet been sufficiently studied, but doctors suggest that the impetus for its appearance is a violation of the adaptive capabilities of the woman's body or the development of autoimmune reactions.

The main symptoms of cardiomyopathy in pregnant women can be the following signs:

  • pain in the region of the heart of a pressing, acute or dull character;
  • increased heart rate;
  • arrhythmia;
  • swelling of the legs;
  • severe weakness;
  • dyspnea.

The further prognosis of cardiomyopathy during pregnancy depends on many indicators. The weight of a woman, the number of fetuses, blood pressure indicators: all these parameters can predetermine the course of the disease and its impact on the bearing and health of the fetus.

What is the danger of pain in the heart of the mother for the unborn baby?

Pain in the heart can affect the health of the fetus if they are caused by diseases. Physiological pains, if the mother does not take unjustified measures for their self-treatment, do not threaten the unborn child in any way.

Anemia, preeclampsia, cardiomyopathy and other heart pathologies that are not detected and treated in a timely manner can cause a deterioration in the blood supply to the fetus and placenta. This leads to fetal hypotrophy and hypoxia, and in severe cases to encephalopathy. Sometimes such pathologies of pregnancy lead to premature birth and death of the fetus.

What should a pregnant woman do with heart pain?

The main rule in case of heart pain in a pregnant woman is not to take any medications without the advice of a doctor! Even taking Corvalol or Valocardin can harm the health of the unborn child and only temporarily eliminate discomfort.

When pain occurs in the heart, you must:

  1. Calm down.
  2. Lie down or sit down.
  3. Provide fresh air supply.
  4. Get rid of clothing that restricts breathing and blood circulation.
  5. If the pain has gone within a few minutes, then after it disappears, inform the doctor about it and follow his recommendations.
  6. If acute myocardial ischemia is suspected, take a Validol tablet (under the tongue).
  7. With prolonged and intense pain - call an ambulance.

After the examination, the doctor will be able to prescribe treatment and recommend changes in the regimen.

doctor-cardiologist.ru

Reasons for contacting a specialist if there are pains in the heart during pregnancy:

  • an increase and stretching of the abdomen growing throughout the entire period can be one of the causes of pain in the heart area, since the tummy begins to gradually press on the chest, thereby causing aching pain.
  • during pregnancy, a woman's weight increases significantly, the heart begins to work twice as fast. The extra weight puts more stress on the heart muscle. He now needs to work for two. Therefore, it is strictly forbidden to be nervous.
  • if tingling, aching pains are felt to the left of the ribs, or on the left side of the shoulder blades - such symptoms may indicate intercostal neuralgia or vegetative vascular dystonia. For the unborn child, there are no serious reasons for excitement, but his mother, on the contrary, should make an appointment with a specialist.
  • pain in the heart during pregnancy of a aching and blurry nature can be triggered by a sharp change in the weather: sudden rain, magnetic storms, temperature fluctuations, atmospheric pressure jumps.
  • a commonplace cause that causes discomfort and pain on the left can be an uncomfortable posture. You just need to try to change your position, the pain should immediately stop bothering you.
  • pain syndrome may also be a harbinger of anemia during pregnancy. Therefore, it is necessary to start taking vitamins that contribute to the replenishment of the necessary microelements and vitamin complexes in the female body, which include “iron”. Its deficiency can manifest itself in dark circles under the eyes and pale skin. Iron is found in all dairy products, eggs, green leafy vegetables, fruits, etc.
  • during pregnancy, it is necessary to protect health from drafts, not to overcool in winter and avoid direct sunlight in the hot summer. It can also affect heart pain and subsequent gestation.
  • hypertension (high blood pressure) in expectant mothers can also contribute to sharp or stabbing pain in the heart area. In the event that swelling of the legs and constant headaches are observed during hypertension, then it is urgently necessary to undergo all examinations and pass the necessary tests. But, most likely, the doctor will prescribe treatment in a hospital.
  • angina is quite common in pregnant women. The disease is not threatening, but you still need to see a specialist.
  • a heart attack and a pre-infarction condition can cause sudden and sharp pain in the heart muscle. Then the count goes on for seconds. In such cases, unfortunately, termination of pregnancy is inevitable in order to save the life of the mother. But this happens very rarely.
  • stress, worries - all this can also aggravate the situation, becoming a precursor to pain in the heart during pregnancy. It must be remembered that nothing and no one should cause the experiences and nerves of the expectant mother. After all, now she is responsible for herself, and 100% for the little miracle that lives in her tummy.

Be that as it may, if a sudden or constant aching, pulling, stabbing pain in the heart is found, it is better to consult a specialist. So the woman will be calmer for her own health and the health of the unborn baby.

Prevention of pain in the heart during pregnancy

If, nevertheless, the heart hurts slightly during pregnancy, and this does not aggravate her health and, in general, future motherhood, you need to know what needs to be done in order to at least somehow reduce the pain in the heart.

First of all, you need to try to relax and calm down, without fail eliminating all bad thoughts. You can brew a cup of soothing tea, then get some sleep.

In addition, during pregnancy you need a proper balanced diet. The use of all vitamins and elements that will also “nourish” the heart of the expectant mother.

You also need to try to walk on the street as often as possible so that “oxygen starvation” does not happen. The norm for a pregnant woman is walking at least 2 times a day for approximately 2-3 hours. Insignificant physical activity will also benefit the pregnant woman and her heart.

May your heart always be healthy!

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Unplanned pregnancy - the cause of cardioneurosis

Unfortunately, pregnancy rarely occurs as planned, when the spouses decide together to have a baby.

Failure to comply with the contraceptive regimen leads to a unilateral decision of the mother. The beginning of an unexpected pregnancy occurs in disputes, uncertainty, in the organization of life, doubts about the future family budget. All questions require perseverance, deliberate actions, calmness from a pregnant woman, although the body has already begun to rebuild due to hormones.

During pregnancy, the obstetrician-gynecologist has to monitor mental state patients, give advice on changing behavior, adapting to new conditions. Not everyone can afford to consult a psychologist. Like emotional background contributes to the development of cardiomyopathy.

Symptoms are reduced to aching, stabbing pains in the region of the heart. They may be accompanied by a feeling of palpitations, lack of air, sleep disturbance. As a rule, these symptoms occur after conflicts, nervous overload, in a stuffy hot room.

Consideration should be given to the greater sensitivity of the pregnant woman to changes in weather conditions, resentment, the appearance of suspicion and incredulity in character.

Neurotic pains in the heart during pregnancy are eliminated by themselves after creating the necessary living conditions, attentive attitude loved ones. Special medications are not required. It is recommended to provide daily walks, proper nutrition, stop night work.

Why does pain appear?

The objective cause of pain can be a significant increase in the load on the heart of the expectant mother. Starting from the sixth week and up to the 34th, the need of the fetus for nutrition is continuously increasing due to the placental circle of additional blood circulation.

The fetus grows, forms its own organs. Everything needs oxygen. Since there is no connection with the air yet, he demandingly takes everything he needs from his mother. Therefore, a woman should create larger reserves than before pregnancy. With insufficient "coverage" of the body's expenses, iron deficiency anemia, vegetovascular dystonia, preeclampsia appear, there is a threat of placental rejection and premature birth.

The doctor must check the level of iron in the blood serum, hemoglobin, if, in addition to pain in the heart, other symptoms appear:

  • skin pallor,
  • dizziness,
  • tachycardia,
  • headache,
  • weakness.

The severity of iron deficiency anemia increases gradually, does not appear immediately.

The vascular system of a woman may be unprepared for the load. She reacts with spastic contractions or, conversely, with an expansion and a drop in tone. The coronary arteries change in the same way. Violations are classified as functional. They do not threaten the development of ischemia and myocardial oxygen deficiency.

Runs much better planned pregnancy when conception occurs after a course of vitamin therapy, preparation hormonal background future mother.

mechanical pressure

The growing uterus from the second half of the term by pressure on the diaphragm compresses the lung tissue and the heart. This is especially enhanced in a long sitting position of a pregnant woman, with an uncomfortable posture in a dream.

In such cases, the heart hurts during pregnancy due to additional obstacles. It changes its position in chest from vertical to horizontal. Throwing blood with each contraction becomes more difficult.

The woman feels palpitations, stabbing pains. The condition is relieved by taking comfortable posture: half-sitting with a pillow under the waist and knees. There is no danger to mother and baby. Fatigue must be compensated for with sufficient rest, to monitor the loads.

It is important to control the level of blood pressure, to monitor swelling in the legs and feet, the rate of weight gain.

Load on the spine

Additional heaviness in the form of a pregnant uterus increases the load on the spine, especially in the chest and lumbar regions. A change in the bend contributes to irritation of the roots of the spinal cord and causes radiculitis pain.

They are associated with the position of the body, turns, tilts. By nature, they are close to shooting, more often unilateral. Perceived as pain in the heart, if localized on the left side of the chest.

In this case, pain is also associated with movements, breathing. They do not affect the condition of the child.

Can pregnancy cause serious heart disease?

Pregnancy cannot cause a primary pathology, since it has many adaptive mechanisms that protect the mother and fetus before childbirth. Another thing is the exacerbation of existing chronic cardiological diseases. If a woman has heart problems, the issue of the possibility of pregnancy should be resolved in advance with a cardiologist.

  • heart defects in the stage of decompensation;
  • myocardial dystrophy;
  • active rheumatic heart disease;
  • pronounced arrhythmias;
  • cardiomyopathy;
  • malignant hypertension.

Pain in the heart is persistent, accompanied by shortness of breath, edema, a violation of the rhythm of contractions, high blood pressure. This condition of the mother is dangerous for the development of the fetus. It threatens the formation of congenital severe diseases, malformations due to the constant lack of oxygen in the blood.

Most often, the entire period of pregnancy has to lie in a specialized maternity ward. Delivery is carried out using a caesarean section, since independent childbirth is very dangerous for a woman.

The risk group includes:

  • all first-time births over 30;
  • expectant mothers with overweight;
  • identified multiple pregnancy;
  • if the previous pregnancy was complicated.

What examination does the doctor prescribe?

According to the nature of pain sensations, it is customary to distinguish:

  • ischemic pain from a lack of blood circulation - pressing in the form of seizures, associated with physical activity, lasts up to 15 minutes, radiates to the left shoulder, jaw, shoulder blade;
  • other cardialgias are aching, stabbing pains that are not associated with physical stress.

To determine the tactics of therapy are prescribed: ECG and ultrasound of the heart. These methods are most available in outpatient settings. Allow:

  • see the size of the heart and large vessels;
  • determine the thickness of the walls of the ventricles and atria;
  • monitor the ejection of blood and the operation of individual chambers;
  • check the correctness of the rhythm.

Is pain in the mother's heart dangerous for the fetus?

For the development of the fetus, any disease of the mother is dangerous. The development of oxygen starvation due to disruption of the heart and blood vessels leads to the pathology of the tissues of the brain and other organs. Difficulties during pregnancy long time affect the health of the unborn child.

IN early childhood the child may be hyperexcitable. TO school age it turns out that it is difficult for him to study due to reduced attention and memory. Disruption of the formation of normal immunity threatens with frequent infectious diseases, a severe course with the development of complications.

Features of pain treatment

A pregnant woman is always recommended to limit herself to exercises, soothing walks, auto-training, a diet rich in vitamins. IN daily diet must be present without fail: raisins, bananas, dried apricots, apples, fish dishes, dairy products. After childbirth, all health problems gradually disappear. Joy and new worries, the feeling of motherhood prevails in every mother.

If a pregnant woman is found serious illnesses, then conventional treatment is possible only if the life of the mother is threatened. Drugs have a toxic effect on the fetus, so doctors use only special light drugs.

Prevention measures

Reduce chance of exacerbation chronic diseases accompanied by pain in the heart, during pregnancy is possible only with the help of a preliminary examination and preparatory course treatment. It is strictly forbidden to smoke and drink alcohol.

All everyday problems should be decided before pregnancy to minimize negative emotions. A woman should be especially careful if the family has relatives with heart disease.

The expectant mother must be completely confident in her ability to carry and give birth to a healthy baby without serious consequences for her body. ABOUT constant pain you need to tell your doctor. Perhaps they signal a failure in normal course pregnancy, precede other pathological manifestations. Compliance medical advice will avoid complications.

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