Wednesday September 19, 2018

ESC Directs Women With Heart Disease To Give Before 40 Weeks

While women with heart disease can have a healthy pregnancy, they should be aware of a higher risk of obstetric complications.

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Is social media driving pregnancy phobia. Flickr
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Pregnant women with heart disease should give birth at no later than 40 weeks gestation, beyond that harm can be caused to the mother, new guidelines by the European Society of Cardiology (ESC) recommends.

Besides pre-pregnancy risk assessment and counselling, a delivery plan should be devised at 20-30 weeks, specifying vaginal or caesarean delivery, whether an epidural or forceps will be used, and the duration of hospital stay after delivery, the guidelines said.

“Pregnancy is a risky period for women with heart disease because it puts additional stress on the heart, so the guidelines advise inducing labour or a caesarean section at 40 weeks,” said Jolien Roos-Hesselink, Professor at the Erasmus University in Rotterdam, Netherlands.

 

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Since carrying more than one baby puts more stress on the heart, women with heart disease undergoing IVF are strongly advised to transfer a single embryo.
Pixabay

 

“Beyond 40 weeks, pregnancy has no added benefit for the baby and may even have negative effects,” Roos-Hesselink added.

Heart disease is the main reason women die during pregnancy in western countries, because they have a 100-fold greater risk of death or heart failure than their healthy peers.

An estimated 18-30 per cent of the offsprings have complications and up to 4 per cent of neonates die.

The new guidelines, published in the European Heart Journal, also recommended against in vitro fertilisation (IVF), contraception, and termination of pregnancy for women with heart disease.

It is because IVF often uses high doses of hormones, which increases the risk of thrombosis and heart failure, so women with heart diseases need a cardiologist’s confirmation.

pregnancy
The new guidelines, published in the European Heart Journal, also recommended against in vitro fertilisation (IVF). Pixabay

“Since carrying more than one baby puts more stress on the heart, women with heart disease undergoing IVF are strongly advised to transfer a single embryo,” the guidelines said.

Also Read: Stress During Pregnancy Increases Risk of Mood Disorder in Daughters

While women with heart disease can have a healthy pregnancy, they should be aware of a higher risk of obstetric complications including premature labour, pre-eclampsia, and post-partum bleeding.

Moreover, girls with congenital heart disease should take advice before using contraceptives because some methods are contraindicated in patients with certain types of heart disease, the guidelines noted. (IANS)

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Asthma Ups The Chance Of Obesity: Study

The increase in the risk of obesity was even greater in people whose asthma began in adulthood.

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Obesity, Asthma
Asthma may up obesity risk. Pixabay

While obesity is already known as a risk factor for developing asthma, a new research led by one of an Indian-origin has showed that people with the airway disease are also more likely to become obese.

The study indicates that those who develop asthma as adults and those who have non-allergic asthma are at the greatest risk of obesity.

The relationship between asthma and obesity is more complex than previously thought and more research is needed to better understand and tackle these two growing health challenges, the researchers said.

Obesity, Asthma
They found that 10.2 per cent of people with asthma at the start of the study had become obese ten years on Flickr Commons

“We already know that obesity can be a trigger for asthma, perhaps via a physiological, metabolic or inflammatory change,” said Subhabrata Moitra, research student at the ISGlobal – the Barcelona Institute for Global Health in Spain.

However, the researchers do not know the reason why having asthma increases the risk of developing obesity or whether different asthma treatments have any effect on this risk.

The team included 8,618 people from 12 countries who were followed for 20 years.

Obesity, Pregnancy
The relationship between asthma and obesity is more complex than previously thought. Pixabay

They found that 10.2 per cent of people with asthma at the start of the study had become obese ten years on. Among people who did not have asthma, 7.7 per cent were obese ten years later.

Also Read: Exposure to Pollen During Pregnancy May up The risk of Asthma in Kids

The increase in the risk of obesity was even greater in people whose asthma began in adulthood. It was also greater in people who had asthma but did not suffer with allergies, the findings showed.

The results were presented at the European Respiratory Society International Congress in Paris. (IANS)