Pregnancy and heart health

During your pregnancy, it’s only natural to focus on your baby’s health and development. But it’s also important to think about your own health — especially your heart health. Pregnancy and heart health are closely connected; what happens during this time can affect your risk for heart disease later in life.

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Pregnancy and Heart Health

When you’re pregnant, your heart works harder. Your blood volume increases to support your growing baby, so your heart pumps faster to circulate the blood throughout your body, raising your heart rate. When you go into labor, your blood pressure will fluctuate. It may even take a few weeks after giving birth for your heart rate and blood pressure to return to normal.

As your unborn baby grows and puts pressure on your diaphragm, you may experience mild chest pains, shortness of breath, and even heart palpitations. These symptoms are normal and rarely a problem. It’s unusual for women to have heart problems during childbearing years, but it can happen. Be sure to talk with your doctor about any concerns.

Pregnancy and Heart Disease Risk

While heart disease is more common in older women, there seems to be a link between heart-related conditions during pregnancy and heart disease risk later in life. If you have been diagnosed with pregnancy-induced hypertension (preeclampsia) or gestational diabetes, you have a greater risk of developing heart disease in midlife. If you have any of these conditions, talk to your doctor about your risk for heart disease after pregnancy and learn what you can do to decrease or control your risk factors.

How to Protect Your Heart During and After Pregnancy

Following a healthy diet and staying active are the top two ways to protect your heart. Stay active as much as you’re able during pregnancy, even if you can manage only a few 10-minute walks each day. Eat regular meals, take your prenatal vitamins consistently, and follow a heart-healthy diet that includes:

  • Plenty of whole fruits and vegetables
  • Lean meats like chicken, turkey, and fish
  • Beans
  • Limited saturated fat and red meats
  • Unsaturated fats from nuts, seeds, oils, and avocado
  • Limited sodium
  • Whole grains
  • Low-fat dairy

Since health choices during pregnancy can affect your heart health later in life, it’s important to start prevention efforts early. Your obstetrician or midwife can offer guidelines on diet and exercise throughout your pregnancy. If you’re struggling or feel you need a more personalized, detailed plan —before, during, or after pregnancy — consider talking to a nutritionist or dietitian. A few small lifestyle changes can protect your heart for years to come.

About Heart and Vascular Institute

The UPMC Heart and Vascular Institute has long been a leader in cardiovascular care, with a rich history in clinical research and innovation. As one of the first heart transplant centers in the country and as the developer of one of the first heart-assist devices, UPMC has contributed to advancing the field of cardiovascular medicine. We strive to provide the most advanced, cutting-edge care for our patients, treating both common and complex conditions. We also offer services that seek to improve the health of our communities, including heart screenings, free clinics, and heart health education. Find an expert near you.