I would like to ask a question pertaining to subsequent births and cardiomyopathy. Nearly 3 years ago, my wife had a nearly uneventful pregnancy, other than a mild case of Gestational Diabetes and UTI. Following the delivery, she experienced SOB and significant swelling. She was admitted into ICU overnight and later to the OB floor and started on Lasix and Digoxin. Dx. Postpartum Cardiomyopathy. Her EF was around 22%. After 3 days in the hospital she was released home on Lasix, Digoxin, and Norvasc. Over the next few months her EF returned to normal, and within the year she was off of her Digoxin, and Norvasc and later Lasix. Her Dr. feels that because she has done so well and without complications, that there maybe a chance that with close monitoring that a subsequent pregnancy may occur. My question is, with second evaluation and opion of course, do you feel that a subsequent pregnancy would be safe?
You will get differing opinions about this. Most cardiologists would recommend avoiding another pregnancy, as the cardiomyopathy could occur again. However, women who have had peripartum cardiomyopathy, with normalization of heart function subsequently, have gotten pregnant again successfully. Still, most cardiologists would not endorse this approach.
There is no new clinical research in this area, as no cardiologists would be enthusiastic about recommending a repeat pregnancy in this situation. However, any large medical center that has cardiac transplant capabilities, as well as high-risk OB facilities, would have cardiologists who specialize in heart failure.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.