C.G. asks from San Marcos, CA on May 08, 2008
Question About Labor, Delivery to Other Mommies with SupraventricularTachycardia
Hi there! I am 19 weeks pregnant and have Supraventricular Tachycardia. It only flairs up when I am doing strenuous activities/exercises. I have only had 2 major flair ups since I was about 15. I am now 26. My OBGYN told me that pregnancy can aggrivate the tachycardia and until recently it hadnt bothered me at all. But now I am starting to worry I won't be able to give birth since the labor and delivery is very strenuous. Has anyone had tachycardia and not had a problem giving birth. I would like to hear how you handled it. Did you need medicine? did you need a c section. Please tell me any info you have. Thank you so much in advance.
More Answers
M.R. answers from Honolulu on May 09, 2008
Aloha C.,
You might want to check with a cardiologist about that. My only experience with svt is that my son has it along with hypertrophic cardiomyopathy. Depending on the severity of your svt your obgyn/hospital might simply keep an injection handy in the event you get an episode.
Marie-anne :O)
L.M. answers from Los Angeles on May 09, 2008
Hi C.,
Wow, I have never met anyone else with SAT ... I was diagnosed with it at at 21, and was put on more and more medications as it continued to get worse. Finally at age 25 I had cardiac ablation and was able to stop taking all medications. The SAT still "tries" to start up from time to time, but since the ablation, my own body cancels it out. It improved my quality of life 100%. However, during both of my pregnancies (age 34 and 39), around the 7th month, I had to go back to my cardiologist because the condition seemed to be returning. I learned that the 7 month mark is the classic time for the extra stress of pregnancy on a body to bring back the SAT. All I had to do was get on a small daily dose of digoxin for the last 2 months of my pregnancies. The dose was not harmful to my babies, and was certainly better than the stress of cardiac arrhythmia on the babies. And, just as my cardiologist said, the SAT disappeared as soon as my children were born. I would definitely recommend getting a cardiologist if you don't already have one, getting on medication temporarily, and looking into more permanent solutions after your pregnancy, if your condition is affecting the quality of your life. Hope this helps! L.
T. answers from Las Vegas on May 09, 2008
C.,
You may want to get a referral to a perinatologist (a high risk pregnancy doctor) and talk to him/her about your concerns. Their training and experience is very, very different than a regular OB and they tend not to freak out (and thereby freak you out) nearly as easily. I don't have any heart problems but I've had 2 high risk pregnancies with lots of preterm labor and I've had one c-section and one VBAC (vaginal birth after c-section). Having been there and done that, I'll say the c-section was much more stressful, much harder on my body and the recovery was much worse. Labor with my second was painful for about 10 minutes after they broke my water, then I got an epidural and 4 hours later my son slid out. I didn't feel a thing and didn't break a sweat. LOL I'm sure other people have different experiences but I would SO not sign up for a c-section unless you have no choice. I had my second child at 4 a.m. and I was up walking around by 7and went home the next morning. With my first, I had my c-section at 6:30 a.m. and I could barely move for 2 weeks afterwards (was in the hospital for 5 days because I got an infection) and I was on some serious narcotics. Everyone thinks a c-section is a walk in the park but it isn't. It is major surgery with all of the risks of major surgery and I don't care what anyone says, it is stressful and painful and the recovery is awful. If I needed one, I'd get it but I certainly wouldn't volunteer unless there was a serious medical reason why I had no choice.
Good luck! I hope your pregnancy and delivery are completely smooth and uneventful!
T.
T.B. answers from Santa Barbara on May 09, 2008
Hi C.,
I had never been diagnosed with SVT but probably had some symptoms of it throughout my lifetime. But when I was about 6 months pregnant with my second child, it flaired up and I had to go to a cardiologist. After a bunch of tests, he diagnosed me and put me on digitalis (foxglove). I had to take it until a couple of months after the delivery. I was very reluctant to take any meds since I was pregnant, but the doctor insisted that it would be very stressful to me and the baby if I kept having episodes (especially since I was age 40). There did not appear to be any reported complications, but how many pregnant women had ever taken this med? Anyway, I went in for weekly monitoring, as for high-risk pregnancies. The birth was completely normal, no epidural because labor came on too fast. But I must say, my son did end up having autism and I really don't know if the med had any contribution to it. I have now found that I can make the SVT occur, just by the position I put my left shoulder in! If I feel an abnormality beginning, I quickly move my shoulder around, usually away from my body, and everything goes back to normal. Coughing usually helps realign my heartbeat also. I try not to sleep on my left side as this causes the problem.
Good luck to you! T.
M.W. answers from Los Angeles on May 09, 2008
C.,
From the responses it sounds like you may be able to have a vaginal birth without complications. Just focus on being calm for you and your baby and if infact you endup with a c-section that will be ok too. I have a uterine anomaly. The plan was for a vaginal birth but after 23 hours of labor I had my son by c-section. It wasn't my plan, but I went in knowing there could be a change of plan, so when it changed I was able to take it in stride.
God bless you and your little one.
M.
S.H. answers from Honolulu on May 08, 2008
Here's some links on it:
http://www.google.com/search?hl=en&client=firefox-a&a...
http://www.google.com/search?hl=en&client=firefox-a&a...
I'm sure you must have lots of info already. Hope this helps,
take care and congratulations on your baby!
~Susan
www.cafepress.com/littlegoogoo
J.C. answers from Los Angeles on May 09, 2008
I too have SVT. I have not had a baby yet, but I have been told multiple times that it should not be an issue. I have episodes frequently, actually this week has been bad. I have had 3 EP studies to try to correct the SVT but each time my heart won't go into the abnormal rhythm (sooo frustrating). my cardiologist said that when i do get pregnant that we will see how i do. if i am not having more episodes than usual then we will stay off meds. if i have more then we will try beta-blockers which are safe for the baby. i don't do well on beta-blockers (side effects) so i am hoping it won't come to that. talk to your OB and your card. and make sure they work in connection. work out a plan, so that when you go in labor everyone is on the same page. say like you do fine at first then as things progress the SVT starts to act up, then you try meds to control it, if it continues to be a problem then move to c-sec. good luck and let me know how it goes!!
C.K. answers from Los Angeles on May 09, 2008
hi C.,
i have it and gave natural birth with both children with no problems. that was in 1978 & 1980. i still have it but seems to be less with age.
Email