{"id":8774,"date":"2020-02-14T09:00:57","date_gmt":"2020-02-14T14:00:57","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=8774"},"modified":"2024-11-20T12:51:08","modified_gmt":"2024-11-20T17:51:08","slug":"pregnancy-heart-rate-palpitations","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/pregnancy-heart-rate-palpitations\/","title":{"rendered":"How to take care of your heart during pregnancy"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">The physiological changes that take place during pregnancy are often awe-inspiring, and likely overwhelming for expectant mothers. The growing fetus impacts every single organ\u2014including your heart. It experiences some <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4928162\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">extreme changes<\/span><\/a><span style=\"font-weight: 400;\"> during pregnancy, from<\/span> <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/4075604\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">a 50% increase in the body\u2019s blood volume<\/span><\/a><span style=\"font-weight: 400;\"> to an<\/span> <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6474684\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">increased pregnancy heart rate<\/span><\/a><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">Your heart is a key to optimal health during <a href=\"https:\/\/www.singlecare.com\/blog\/news\/pregnancy-statistics\/\">pregnancy<\/a> and every other season of life, too. Here\u2019s how to take care of it.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Heart disease: The leading cause of maternal death<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cThe leading cause of death in pregnant women and women in the postpartum period<\/span> <span style=\"font-weight: 400;\">is cardiovascular disease,\u201d says <\/span><a href=\"https:\/\/www.hoffmanobgyn.com\/our-doctors\/janna-mudd-md?sc_lang=en\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Janna Mudd, MD<\/span><\/a><span style=\"font-weight: 400;\">, an OB-GYN practicing at Hoffman and Associates in Baltimore, Maryland.<\/span> <span style=\"font-weight: 400;\">Heart disease contributes to 26.5% of maternal deaths, according to <\/span><a href=\"https:\/\/www.acog.org\/About-ACOG\/News-Room\/News-Releases\/2019\/ACOG-Releases-Comprehensive-Guidance-on-How-to-Treat-Heart-Disease-in-Pregnancy?IsMobileSet=false\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">The American College of Obstetricians and Gynecologists<\/span><\/a><span style=\"font-weight: 400;\">. While pre-existing heart conditions are a risk factor, the most common concern is the acquired heart conditions that sometimes develop silently.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">A healthy heart pre-pregnancy\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The key to heart health during pregnancy is ensuring a healthy heart prior to getting pregnant, explains Dr. Mudd. This recommendation is in line with<\/span> <a href=\"https:\/\/www.heart.org\/en\/news\/2019\/06\/11\/how-to-have-a-heart-healthy-pregnancy-before-you-even-conceive\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">The American Heart Association<\/span><\/a><span style=\"font-weight: 400;\">, which advises that women should optimize their heart health before conceiving.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/myfertilitycare.com\/mark-trolice-md\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Mark P. Trolice, MD<\/span><\/a><span style=\"font-weight: 400;\">, a director at Fertility CARE: The IVF Center, suggests exercise and aerobic activity prior to pregnancy and during to ensure a healthy heart. \u201c<\/span><span style=\"font-weight: 400;\">Regular exercise improves or maintains physical fitness, helps with weight management, reduces the risk of <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/gestational-diabetes-diet-treatments\/\"><span style=\"font-weight: 400;\">gestational diabetes<\/span><\/a><span style=\"font-weight: 400;\"> in obese women, blood pressure problems, and C-sections\u2014and enhances <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/perinatal-depression-antidepressants\/\"><span style=\"font-weight: 400;\">psychological well-being<\/span><\/a><span style=\"font-weight: 400;\">,\u201d he says. To maintain a healthy heart preconception, it\u2019s important to:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reach and maintain a healthy weight<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stop unhealthy substances (tobacco, alcohol, marijuana, illegal drugs, and prescription drugs taken for a nonmedical reason)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Eat a healthy diet<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Manage chronic health conditions<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you feel your heart racing during pregnancy it\u2019s probably because your resting heart rate can increase up to 20 beats per minute. In fact, it\u2019s often one of the early signs of pregnancy. Heart rates below 60 BPM may be cause for concern, unless you are very athletic. <\/span><span style=\"font-weight: 400;\">A healthy heart must be a priority for the health of both mother and baby during pregnancy, and after the baby is born, too.<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h3><span class=\"title\">Normal heart rate for pregnant women vs. non-pregnant women<\/span><\/h3>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><\/td>\n<td><strong><span style=\"color: #ffffff;\">Beats per minute<\/span><\/strong><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.mayoclinic.org\/healthy-lifestyle\/fitness\/expert-answers\/heart-rate\/faq-20057979\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Non-pregnant adults<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">60-100 BPM<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.merckmanuals.com\/home\/women-s-health-issues\/normal-pregnancy\/physical-changes-during-pregnancy\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Pregnant adults<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">70-90 BPM<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<h3><span style=\"font-weight: 400;\">How to lower a high heart rate during pregnancy<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">In the past, healthcare providers used to recommend keeping your heart rate below 140 during pregnancy\u2014even when exercising. Today, those limits aren\u2019t typically used. In general, you don\u2019t need to measure or monitor your heart rate during pregnancy. That can be done during prenatal visits. If your provider notices that your heart rate increases more than 20 beats per minute over your pre-pregnancy heart rate, your physician may want you to take steps to bring it down by:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Exercising regularly, with low impact activities like swimming or walking<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Eating a healthy diet of fruit, vegetables, and lean protein adding up to 2,200 to 2,900 calories a day\u2014that includes limiting caffeine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Getting regular prenatal care to make sure no health issues are missed<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Using relaxation techniques and meditation to manage stress\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Seeking treatment for anxiety or depression<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If your heart rate increases, don\u2019t hesitate to talk to your provider for help.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\t\t<div class=\"singlecare-dynamic-newsletter-wrapper sin-newsletter-wrapper\">\n\t\t\t<span class=\"heading\">Get our heart health newsletter<\/span>\n\t\t\t<form class=\"form-wrapper\" data-newsletter-form=\"1\" data-subsource=\"Heart Health Newsletter\">\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<label for=\"dynamic-email\">Email<\/label>\n\t\t\t\t\t<input type=\"email\" id=\"dynamic-email\" class=\"email\" required>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<input class=\"submit-form-btn\" type=\"submit\" value=\"Click to sign up\">\n\t\t\t\t<\/div>\n\t\t\t<\/form>\n\t\t\t<p class=\"success-message\" aria-live=\"polite\"><\/p>\n\t\t<\/div>\n\t<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Pregnancy and pre-existing heart conditions<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">What if you already have a pre-existing heart condition prior to getting pregnant?<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThere are certain heart conditions, such as cardiomyopathy, in which pregnancy is not advised due to the risk of morbidity and mortality in the mother,\u201d Dr. Mudd explains. \u201cOther conditions such as high blood pressure and diabetes, which have a higher risk of heart disease, should be optimized prior to pregnancy.\u201d She also advises that women with pre-existing heart conditions consult with their primary care provider, obstetrician and cardiologist pre-pregnancy. You will require important heart-monitoring tests prior and during pregnancy.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dr. Trolice says that if a woman has significant heart or lung disease, severe high blood pressure, or preeclampsia, then high-impact exercise is not recommended. Low-impact activities such as walking and stretching would still be safe and beneficial. Further, women with abnormal heart rhythms (arrhythmia), poorly controlled diseases like diabetes or high blood pressure, or are extremely under or overweight should discuss the risks with their provider before considering pregnancy, he explains. It is also important to get <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/normal-thyroid-levels\/\"><span style=\"font-weight: 400;\">thyroid levels<\/span><\/a><span style=\"font-weight: 400;\"> checked and optimized as needed.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Heart palpitations during pregnancy: A common complaint\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">This symptom isn\u2019t necessarily cause for concern. <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/heart-palpitations\/\"><span style=\"font-weight: 400;\">Heart palpitations<\/span><\/a><span style=\"font-weight: 400;\"> during pregnancy are common, occurring in <\/span><a href=\"https:\/\/www.heartrhythmassociatesllc.com\/blog\/what-you-should-know-about-arrhythmia-during-pregnancy\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">60% of pregnant women<\/span><\/a><span style=\"font-weight: 400;\">. Dr. Mudd says: \u201cPalpitations are an unpleasant sensation of the forceful, rapid or irregular beating of the heart. They may feel like fluttering or pounding in the chest.\u201d She explains that as long as they are infrequent and short-lived, heart palpitations are not a problem, but if a patient is concerned or worried, they should always consult with their obstetrician.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are a few reasons why pregnant women might experience heart palpitations, including anxiety, the consumption of caffeine or drugs, heart problems like arrhythmia, or other underlying heart conditions. If you experience <a href=\"https:\/\/www.singlecare.com\/blog\/chest-pain-causes-treatment\/\">chest pain<\/a>, shortness of breath, or the palpitations are frequent or prolonged, you should seek medical attention, advises Dr. Mudd.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">How to stop heart palpitations during pregnancy<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">In most cases, heart palpitations will go away on their own without treatment. Palpations may resolve with lifestyle techniques such as deep breathing, meditation, and mindfulness. Unless they are due to a more serious underlying condition, it\u2019s likely your healthcare provider will not recommend treatment. In certain circumstances medication will be necessary after your first trimester. In more severe cases, a procedure called cardioversion can shock your heart back into rhythm. Work with your physician to determine the lowest risk to you and your pregnancy.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/signs-of-heart-problems\/\"><b>13 signs of heart problems worth worrying about<\/b><\/a><\/p>\n<p><span style=\"font-weight: 400;\">This type of heart failure is extremely rare. In the United States, about 1,000 to 1,300 pregnant women will develop PPCM. According to the AHA, some symptoms include fatigue, heart racing or feeling like it\u2019s skipping beats (palpitations), shortness of breath with activity and when laying down, increased need to urinate at night, swelling of ankles and neck veins, and low blood pressure. While PPCM is considered rare, the American College of Obstetricians and Gynecologists says peripartum cardiomyopathy is the leading cause of maternal deaths, and contributes to 23% of maternal deaths in the late postpartum period.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Both Dr. Mudd and Dr. Trolice agree that optimal heart health during pregnancy is important for a healthy overall pregnancy.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The physiological changes that take place during pregnancy are often awe-inspiring, and likely overwhelming for expectant mothers. The growing fetus impacts every single organ\u2014including your heart. It experiences some extreme changes during pregnancy, from a 50% increase in the body\u2019s blood volume to an increased pregnancy heart rate. Your heart is a key to optimal [&hellip;]<\/p>\n","protected":false},"author":85,"featured_media":8604,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[737,8615],"coauthors":[8365],"class_list":["post-8774","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-heart-health","tag-pregnancy","franchise-maternal-matters","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>How to take care of your heart during pregnancy<\/title>\n<meta name=\"description\" content=\"A normal heart rate for pregnant women is 70-90 BPM, and 60% of pregnant women experience heart palpitations. 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