What should I do if I feel heart discomfort during pregnancy?

Pregnant women are most likely to experience physical abnormalities, especially some women in the middle of pregnancy due to reduced exercise, and the growing fetus compresses the woman's abdominal organs, resulting in excessive negative pressure on the organs. The first thing to be affected is the increased impact on the heart, causing many women to have heart problems during pregnancy. Let's take a look at what to do if you have heart discomfort during pregnancy?

To reduce the burden on the heart, you should pay attention to the following aspects:

① Limit physical activities, increase rest time, and ensure at least 10 to 12 hours of sleep per day. Try to lie on your left side to increase cardiac output and maintain a stable blood flow back to the heart.

②Keep a cheerful spirit and avoid emotional excitement.

③ Eat a high-protein, low-fat, multi-vitamin diet and limit sodium salt intake to 3 to 5 grams of salt per day to prevent edema. Maintain proper nutrition and control the rate of weight gain, which should not exceed 0.5 kg per week and 10 kg during the entire pregnancy.

④ Eliminate various factors that damage cardiac function, such as anemia, hypoproteinemia, vitamin (especially B1) deficiency, infection, and pregnancy-induced hypertension syndrome.

⑤ If blood transfusion is needed, give multiple small amounts (150-200 ml); if fluid replacement is needed, limit it to 500-1000 ml/d, with a drip rate of <10-15 drops/minute.

Improving cardiac compensatory function includes the following aspects:

① Vascular surgery can be performed during the 3rd to 4th month of pregnancy for patients with severe conditions, heart function levels III to IV, uncomplicated surgery, and low anesthesia requirements. Urgent mitral valvotomy (for isolated mitral stenosis causing acute pulmonary edema) can be performed antenatally. If heart failure occurs during the course of a patent ductus arteriosus or if there is ductus arteriosus infection, surgery may be indicated.

② Pregnant women with digitalis heart disease who do not have symptoms and signs of heart failure generally do not need digitalis treatment because digitalis is ineffective at this time. Moreover, the use of digitalis during pregnancy cannot guarantee that heart failure will not occur during delivery. Once a reaction occurs, it will be difficult to add medication at that time. Furthermore, rapid digitalization can take effect within minutes. If the changes in the condition are closely monitored, it is not difficult to control early heart failure in time. Therefore, digitalis is usually only used at 28 to 32 weeks of pregnancy (i.e. before the peak hemodynamic load during pregnancy) in patients with signs of heart failure or early heart failure or heart function class III. Because pregnant women have poor tolerance to digitalis and are easily poisoned, it is advisable to use rapid preparations such as deacetyl scutellaria baicalensis (Digitalis) or scutellaria baicalensis K (Scutellaria baicalensis K). For maintenance treatment, digoxin, which is excreted more quickly, is used and is generally used until blood circulation returns to normal 4 to 6 weeks after delivery.