Tuesday January 21, 2020

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.

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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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India Registers an Uptick in Diabetes and Thyroid: Report

Uptick in diabetes, thyroid in India in 2019

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India registered an increase in lifestyle diseases including diabetes and thyroid. Pixabay

As India registered an increase in lifestyle diseases including diabetes and thyroid, a new report suggests that women are unhealthier than men, and Chandigarh is the healthiest city while Kolkata unhealthiest city for the second year in a row. This is the latest health news.

As per the GOQii India Fit Report 2020, diabetes has increased from 7.1 to 12 per cent this year.

“The incidence of diabetes is highest among older adults at 23.81 per cent and seniors at 36.82 per cent. As per the report, 13.5 per cent of Indians have cholesterol issues.

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Diabetes has increased from 7.1 to 12 per cent this year. Pixabay

“Currently 36 per cent of the people who have high cholesterol have heart issues too while 51.7 per cent of the people who have diabetes have abnormal cholesterol too. This past year, thyroid issues have increased from 6.8 to 10.7 per cent. The report also suggests that 13.4 per cent of the people in India have high blood pressure,” GOQii, a smart-tech enabled preventive healthcare platform, said.

As per the report, 27 per cent of India has acidity and indigestion issues.

Speaking city-wise, 18 per cent people in Kolkata are diabetic followed by Surat and Bhopal. Kolkata also has the largest aging population in the country, the most people with acidity, and the highest incidence of lifestyle diseases, while Bhopal has the highest percentage of people who consume alcohol.

The report has collected data from a cross-section of 5 million GOQii app users across 16 cities.

Interestingly, it also took the study of longevity under its ambit, and reveals what some of India’s oldest people attribute their longevity to.

Turns out, the secret to a long life is – eating nutritious food, staying active, socializing and sound sleep. These attributes were the common contributing factors for leading a long and healthy life according to 90-year olds and centenarians.

Also Read- Prenatal Smoking, Drinking Increases SIDS Risk; Says New Study

The elderly people also believed that eating home-cooked and fresh, local and seasonal vegetarian meals at fixed and regular intervals played an important role in their day-to-day regimen. Dairy, especially milk, curd and ghee emerged as kitchen superheroes for this age group.

The centurions also believed that having a hobby, being social and content enhanced the quality of their lives. (IANS)