Friday October 18, 2019

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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Pregnancy, Breast Cancer
High blood pressure, which had long been defined as a top reading of at least 140 or a bottom one of 90, dropped to 130 over 80 under guidelines adopted in 2017.

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.

 

Heart Attack, women
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)

Next Story

Workout Before Breakfast To Get Fit, Says Study

The research team also wanted to focus on the impact on the fat stores in muscles for individuals who either worked out before or after eating

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Workout
Study says that the ones who do Workout before breakfast burns double the amount of fat than the one who exercised after. Pixabay

 Fitness enthusiasts, take a note! Researchers have found that a nice Workout before breakfast could increase health benefits of exercise.

The study, published in the Journal of Clinical Endocrinology and Metabolism, the Universities of Bath and Birmingham found that by changing the timing of when you eat and exercise, one can better control the blood sugar levels.

“We found that the men in the study who exercised before breakfast burned double the amount of fat than the group who exercised after,” said study author Javier Gonzalez from the University of Bath.

“Our results suggest that changing the timing of when you eat in relation to when you exercise can bring about profound and positive changes to your overall health,” Gonzalez said.

 The six-week study, which involved 30 men classified as obese or overweight and compared results from two intervention groups (who ate breakfast before/after exercise) and a control group (who made no lifestyle changes), found that people who performed exercise before breakfast burned double the amount of fat than the group who exercised after breakfast.

Workout
Results suggest that changing the timing of when one eats in relation to when one do Workout can bring about profound and positive changes to one’s overall health. Pixabay

They found that increased fat use is mainly due to lower insulin levels during exercise when people have fasted overnight, which means that they can use more of the fat from their fat tissue and the fat within their muscles as a fuel.

While this did not lead to any differences for weight loss over six weeks, it did have ‘profound and positive’ effects on their health because their bodies were better able to respond to insulin, keeping blood sugar levels under control and potentially lowering the risk of diabetes and heart disease.

The research team also wanted to focus on the impact on the fat stores in muscles for individuals who either worked out before or after eating and the effect this had on insulin response to feeding.

Over the six-week trial, the research team found that the muscles from the group who exercised before breakfast were more responsive to insulin compared to the group who exercised after breakfast, in spite of identical training sessions and matched food intake.

Workout
Research found that increased fat use is mainly due to lower insulin levels during Workout when people have fasted overnight, which means that they can use more of the fat from their fat tissue and the fat within their muscles as a fuel. Pixabay

The muscles from those who exercised before breakfast also showed greater increases in key proteins, specifically those involved in transporting glucose from the bloodstream to the muscles.

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For the insulin response to feeding after the six-week study, remarkably, the group who exercised after breakfast were in fact no better than the control group, the study said. (IANS)