The doctor explained why pulmonary edema and heart failure develop after birth Doctor Tyutyunnik: After birth, blood volume increases, which causes heart problems 12:31

During pregnancy, the cardiovascular system changes to ensure adequate blood flow to both the mother and the fetus. After birth, the volume of circulating blood continues to increase as fluid begins to flow from the tissues to the vascular bed. This may lead to the risk of heart failure and pulmonary edema, which threaten the mother’s life. Doctor of Medical Sciences, professor, member of the board of directors of the Russian Association of Obstetricians and Gynecologists and chief physician of the maternity hospital of the European Medical Center (EMC) Viktor Tyutyunnik told socialbites.ca.

“In the third trimester, blood volume increases by 30-50%. This is due to endocrine changes and increased secretion of aldosterone and hormones produced by the placenta. All these changes cause sodium and water retention and the total fluid volume in the body increases. Cardiac output increases by 15% already in the first trimester and reaches 50% at 34 weeks. The increase in heart rate is also 15-20 beats per minute. This helps improve the delivery of oxygen and nutrients to the tissues,” said the doctor.

The volume of the heart muscle increases by a third, which is a normal response to increased stress. But after birth, the heart returns to its original state almost immediately. Unfortunately, the heart cannot always cope with the increased load due to increased blood volume.

“Women in the postpartum period have an increased risk of blood clots that can lead to venous thromboembolism. This condition is associated with changes in the blood coagulation system and slowing of blood flow. Heart failure may occur on the third or fourth day after birth due to increased blood flow to the heart and increased viscosity of the blood. “These conditions require close monitoring and may require medical intervention,” the doctor said.

About how often postpartum complications occur, which ones are the most dangerous, how secondary infertility can occur after childbirth and why a woman may experience pain during sex – in report Tyutyunnik “socialbites.ca”.

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Source: Gazeta

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