I am 37 1/2 yrs old. Para 1, Gravida 4. I had an episode of SVT with my first pregnancy at 41 weeks that was attributed to the pregnancy. My two subsequent miscarriages were not attributed to the HCM. I am currently pregnant for the fourth time at 31 weeks gestation, with the HCM diagnosis at 7 weeks pregnant after MRIs, Echo's etc and two episodes of PSVT to 240bpm. Septal thickness of 22mm.
I am taking Metoprolol - 25mg at 0800, 25mg at 1800 and 50mg at 2300 to control my rates and arrythymias. I wore a Holter monitor last week that showed 9 episodes of SVT and 2 of Vtach.
I am due for cardiac ablation one month after my scheduled c-section. My BP with the Metoprolol is around 105/50 during the day and unknown while sleeping.
I have the following concerns I was hoping could be addressed.
1. What are the odds I can carry to full term? Should I even try?
2. What are the risks to both me and baby if I try...vs....having our risks when having a c-section done early to try and relieve the cardiac stress on me?
3. How long after I have the ablation will I be able to resume breastfeeding?
4. Would bedrest be of any benefit? I am not allowed to be active currently and are pretty good with adhering to that advice.
I can still feel the breakthrough arrythymias but am unsure if it is really posing a problem or if I am just hormonally unbalanced and scared for no reason.