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Pregnant and just post heart failure - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2302 Questions
User :   hi, my wife is 44 and had a heart attack last week, and later on we found out she was pregnant, she has high bloody pressure as well, should we go for abortion? or pregnancy would trigger bigger problems to my wife and out baby?
Doctor :   Hi
Doctor :   I am
User :   hi
User :   did you get my question?
Doctor :   yes

Doctor :   Is she hospitalized still?
User :   no no
User :   she is home now
Doctor :   Can you tell me the complete diagnosis by her doctor?
User :   there was no diagnosis completed doctor
User :   we were told diagnosis might have harm the baby
Doctor :   Did she had a heart failure?
User :   yes
User :   it was the for the first time
Doctor :   Ok
User :   she had high bloody pressure for few years
Doctor :   Is it the first baby you are planning?
User :   yes
User :   i have been searching online
User :   all i could find was
User :   due to high blood pressure, pregnacy triggered heart attack
Doctor :   How many weeks of pregnancy?
User :   some articles say it may even cause repetitive heart attacks or stroke in the further pregnancy
User :   this is 4th week
Doctor :   Ok
User :   i dont want to risk my wifes health
User :   i want my baby too
Doctor :   Was she ever pregnant?
User :   no
User :   first time pregnancy
Doctor :  

Ok not considering your family status and the importance of having baby at this time, I give my opinion here
Doctor :  

Ok not considering your family status and the importance of having baby at this time, I give my opinion here
Doctor :   It is risky for her to continue with the pregnancy
Doctor :   given her health status now
Doctor :   She may land up in failure once again
Doctor :   Pregnancy results in many changes in the woman
Doctor :   and these changes can precipitate more problems in the pregnancy to continue
User :   what do you suggest doctor?
Doctor :   I think saving the mother is important

User :   doctor are you there?
Doctor :   Her Blood pressure should be controlled first of all
Doctor :   Yes are you able to see my messages
User :   doctor
Doctor :   yes
Doctor :   I am here
Doctor :   I do suggest for termination of pregnancy
Doctor :   I think there is some problem in exchange of info

User :   all good not
User :   now
User :   got them all doctor
Doctor :   Ok

User :   so you do suggest abortion?
Doctor :   Yes
User :   and it is quite dangerous for both baby and the mother
Doctor :   yes
Doctor :   Actually you should not delay the abortion also
Doctor :   as it can result in untoward problems
User :   i see
User :   we were told that it would be better to wait till 10th week and then diagnosis could be done
User :   and cardiologist could give us some answers
User :   but you do mean we should not delay the abortion
Doctor :   The time is till 12 weeks
User :   i see
Doctor :   If the cardiologist wants to wait
Doctor :   Actually you have to speak to Obstetrician and Cardiologist together and make them talk together
User :   i see
Doctor :   if the Obstetrician has any experience in dealing with such cases
User :   my last question doctor
Doctor :   in her experience
User :   after my wife had the heart attack
User :   she was in the hospital for 1 week
Doctor :   Some well exp obstetrician can deliver without complications
Doctor :   ok
User :   and been receiving threatment
Doctor :   ok
User :   and was loaded with lots of medication
User :   just before the diagnosis we found out she was pregnant
User :   do you think the medication we was loaded can be already damaged the baby?
User :   this is my last question
Doctor :   It actually depends on the medication
User :   when she had the heart attack doctors did not know she was pregnant
Doctor :   If the doctor would have found out she is pregnant he wiould have taken all the precautions to give less toxic medication
User :   i see
User :   do we still have time doctor?
Doctor :   Yes
User :   i dont want to keep you busy
User :   ok
Doctor :   There is a scan done at 15 to 18 weeks
Doctor :   also called triple test
Doctor :   which can detect any abnormalities
Doctor :   Ofcourse there someothers done at 6 weeks, to identify heart sounds
Doctor :   of the baby
User :   ok
Doctor :   To summarize, I would say to wait for cardiologist opininon till 10th week
Doctor :   Meanwhile try to find the best Obstetrician
Doctor :   who is experienced try her to talk to the Cardio
User :   ok
User :   thank you very much doctor
User :   thanks for your time and suggestions
Doctor :   Pleasure here
Doctor :   Do follow up with me if you have any more questions in future
Doctor :   I will be able to advise you
Doctor :   Thank you
User :   thank you so much doctor
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