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	<title>Comments on: Heart Surgery, Pregnancy, Labor And Baby Delivery&#8230; Can You Help Shannon?</title>
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	<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2009/04/22/heart-surgery-pregnancy-and-baby-delivery/</link>
	<description>Former Patient And Author, Adam Pick, Blogs About Heart Valve Replacement And Heart Valve Repair</description>
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		<title>By: Rae</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2009/04/22/heart-surgery-pregnancy-and-baby-delivery/comment-page-1/#comment-45906</link>
		<dc:creator>Rae</dc:creator>
		<pubDate>Mon, 05 Sep 2011 10:02:16 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2009/04/22/heart-surgery-pregnancy-and-baby-delivery/#comment-45906</guid>
		<description>Hi ladies!

I have already had aortic valve replacement twice. The first time I was 20 (2000), I contracted Endocarditis on my aortic valve (I was born with stenosis)! My valve was replaced with a tissue valve because I wanted to have children. Well I only got married last year, and at the beginning of this year I knew I wasn&#039;t feeling well...it turned out my replacement valve was on its last legs ( it lasted 10 years and 7 months, so I was happy)! 

So in July this year I had replacement surgery AGAIN and chose to have another tissue valve. Why? So that I wouldn&#039;t be on anti-coagulants. (these have to carefully monitored during pregnancy)!

Why am I writing all this... Well I wanted you all to know I have certainly thought a lot about this topic. I have researched, asked questions and thought long and hard. 

Is it possible to have a baby after aortic valve replacement? My surgeon and cardiologists said yes! Of course each individual case is different, but the fact is yes it is.

When you&#039;re pregnant your blood volume increases, this is why you need to heavily monitored. 

My advice: (please note, I&#039;m not a cardiologist, I&#039;m just going off my own experiences.

1) Talk to you cardiologist. Find out what state you valve is in before you put it under any extra pressure.
2) Do I need to have extra monitoring while pregnant?  Yes. You will need to be watched carefully. 
3) Find out about your own possible risks, we&#039;re all different. Any pregnancy carries risks, so don&#039;t over worry, talk to the experts. 
4) if you have a mechanical valve, you must get in touch with your cardiologist NOW if you&#039;re newly pregnant. Your anti-coagulants doses etc will need to be changed. Warfarin can damage your child, so they will change it to heparin most likely. Again I&#039;m no expert, but I do know you MUST have this looked at. Tell your doc right away. BUT don&#039;t panic, they know what their doing.
5) if you have a tissue valve you are most likely not on warfarin, still, it is important that if you have just found out you&#039;re pregnant that you tell you doc/cardiologist. They will want to check you over.

I have not had a baby yet, so you might think what do I know, but I have done the research as I want one (or two if I can). I&#039;m 31 (tomorrow) and 8 weeks post second aortic valve replacement, and my surgeon is happy for me to become pregnant. I will do to. I&#039;m just looking into how long I should leave it (a few months yet)!

So, hopefully those that were under the impression woman shouldn&#039;t get pregnant after heart surgery, they can, but talk to your cardiologist...each case is different.

Do have hope, we can all have hope?

Do be careful. Plan and ensure you stay fit and know what to do to look after yourself.

Do remember there are plenty of women in our shoes who have successfully had children!

I&#039;m going to keep you updated with my blog on my progress. I talk to the docs a lot, and although my case may be different to yours, it will at least let you know one situation.

So yes, I have aortic valve replacement twice, I&#039;m 30 and I will try for a baby! I will have to have my valve replaced again, next time it will be mechanical. This is my chance and I&#039;m going to take it!

I wish you all the very best. Keep savvy and look after yourselves! 

Rae xx</description>
		<content:encoded><![CDATA[<p>Hi ladies!</p>
<p>I have already had aortic valve replacement twice. The first time I was 20 (2000), I contracted Endocarditis on my aortic valve (I was born with stenosis)! My valve was replaced with a tissue valve because I wanted to have children. Well I only got married last year, and at the beginning of this year I knew I wasn&#8217;t feeling well&#8230;it turned out my replacement valve was on its last legs ( it lasted 10 years and 7 months, so I was happy)! </p>
<p>So in July this year I had replacement surgery AGAIN and chose to have another tissue valve. Why? So that I wouldn&#8217;t be on anti-coagulants. (these have to carefully monitored during pregnancy)!</p>
<p>Why am I writing all this&#8230; Well I wanted you all to know I have certainly thought a lot about this topic. I have researched, asked questions and thought long and hard. </p>
<p>Is it possible to have a baby after aortic valve replacement? My surgeon and cardiologists said yes! Of course each individual case is different, but the fact is yes it is.</p>
<p>When you&#8217;re pregnant your blood volume increases, this is why you need to heavily monitored. </p>
<p>My advice: (please note, I&#8217;m not a cardiologist, I&#8217;m just going off my own experiences.</p>
<p>1) Talk to you cardiologist. Find out what state you valve is in before you put it under any extra pressure.<br />
2) Do I need to have extra monitoring while pregnant?  Yes. You will need to be watched carefully.<br />
3) Find out about your own possible risks, we&#8217;re all different. Any pregnancy carries risks, so don&#8217;t over worry, talk to the experts.<br />
4) if you have a mechanical valve, you must get in touch with your cardiologist NOW if you&#8217;re newly pregnant. Your anti-coagulants doses etc will need to be changed. Warfarin can damage your child, so they will change it to heparin most likely. Again I&#8217;m no expert, but I do know you MUST have this looked at. Tell your doc right away. BUT don&#8217;t panic, they know what their doing.<br />
5) if you have a tissue valve you are most likely not on warfarin, still, it is important that if you have just found out you&#8217;re pregnant that you tell you doc/cardiologist. They will want to check you over.</p>
<p>I have not had a baby yet, so you might think what do I know, but I have done the research as I want one (or two if I can). I&#8217;m 31 (tomorrow) and 8 weeks post second aortic valve replacement, and my surgeon is happy for me to become pregnant. I will do to. I&#8217;m just looking into how long I should leave it (a few months yet)!</p>
<p>So, hopefully those that were under the impression woman shouldn&#8217;t get pregnant after heart surgery, they can, but talk to your cardiologist&#8230;each case is different.</p>
<p>Do have hope, we can all have hope?</p>
<p>Do be careful. Plan and ensure you stay fit and know what to do to look after yourself.</p>
<p>Do remember there are plenty of women in our shoes who have successfully had children!</p>
<p>I&#8217;m going to keep you updated with my blog on my progress. I talk to the docs a lot, and although my case may be different to yours, it will at least let you know one situation.</p>
<p>So yes, I have aortic valve replacement twice, I&#8217;m 30 and I will try for a baby! I will have to have my valve replaced again, next time it will be mechanical. This is my chance and I&#8217;m going to take it!</p>
<p>I wish you all the very best. Keep savvy and look after yourselves! </p>
<p>Rae xx</p>
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		<title>By: Sara</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2009/04/22/heart-surgery-pregnancy-and-baby-delivery/comment-page-1/#comment-45752</link>
		<dc:creator>Sara</dc:creator>
		<pubDate>Sun, 04 Sep 2011 08:46:10 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2009/04/22/heart-surgery-pregnancy-and-baby-delivery/#comment-45752</guid>
		<description>Hi Shannon, 

I was wondering how things turned out for you.  Did you end up getting pregnant?  Were there any complications?

My situation is somewhat similar to yours.  I am twenty six and I recently found out that I was born with a bicuspal aortic valve.  I never knew this until about a month ago.  I have severe stenosis and mild regurg and am going to have my valve replaced in about a month or so.  I am getting a porcine or bovine valve because my fiance and I desperately want children after we get married in January.  We want a big family and, after having children, I will go with a mechanical valve when my porcine valve begins to go.  

Please let me know how things went for you.  My cardiologist and surgeon are very optimistic, but it&#039;s all still so new to me.</description>
		<content:encoded><![CDATA[<p>Hi Shannon, </p>
<p>I was wondering how things turned out for you.  Did you end up getting pregnant?  Were there any complications?</p>
<p>My situation is somewhat similar to yours.  I am twenty six and I recently found out that I was born with a bicuspal aortic valve.  I never knew this until about a month ago.  I have severe stenosis and mild regurg and am going to have my valve replaced in about a month or so.  I am getting a porcine or bovine valve because my fiance and I desperately want children after we get married in January.  We want a big family and, after having children, I will go with a mechanical valve when my porcine valve begins to go.  </p>
<p>Please let me know how things went for you.  My cardiologist and surgeon are very optimistic, but it&#8217;s all still so new to me.</p>
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		<title>By: Nekeisha</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2009/04/22/heart-surgery-pregnancy-and-baby-delivery/comment-page-1/#comment-43049</link>
		<dc:creator>Nekeisha</dc:creator>
		<pubDate>Mon, 22 Aug 2011 18:36:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2009/04/22/heart-surgery-pregnancy-and-baby-delivery/#comment-43049</guid>
		<description>Hi Im 36 and had mitral valve replacement a year ago and I just found out I am pregnant and now Im afraid can some please help me I need to know what to do.</description>
		<content:encoded><![CDATA[<p>Hi Im 36 and had mitral valve replacement a year ago and I just found out I am pregnant and now Im afraid can some please help me I need to know what to do.</p>
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		<title>By: LaTonya</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2009/04/22/heart-surgery-pregnancy-and-baby-delivery/comment-page-1/#comment-41770</link>
		<dc:creator>LaTonya</dc:creator>
		<pubDate>Fri, 12 Aug 2011 21:14:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2009/04/22/heart-surgery-pregnancy-and-baby-delivery/#comment-41770</guid>
		<description>Hi Nikki, 

I was wondering how are you doing with your pregnancy.  I read your post, Emily and Charity ad now I want my own child even more.  I always thought that women with our issues were not successful with having children, however that seems to not be true.  Congrats to all of you and thanks for everyone&#039;s posts.... this has helped me to relieve some of the stree, and I guess internet searches can be a big help..</description>
		<content:encoded><![CDATA[<p>Hi Nikki, </p>
<p>I was wondering how are you doing with your pregnancy.  I read your post, Emily and Charity ad now I want my own child even more.  I always thought that women with our issues were not successful with having children, however that seems to not be true.  Congrats to all of you and thanks for everyone&#8217;s posts&#8230;. this has helped me to relieve some of the stree, and I guess internet searches can be a big help..</p>
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		<title>By: LaTonya</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2009/04/22/heart-surgery-pregnancy-and-baby-delivery/comment-page-1/#comment-41769</link>
		<dc:creator>LaTonya</dc:creator>
		<pubDate>Fri, 12 Aug 2011 20:56:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2009/04/22/heart-surgery-pregnancy-and-baby-delivery/#comment-41769</guid>
		<description>I am 38 and have had my mitro valve replacement(mechanical valve) since 2005.  I&#039;m going through some sort of phase in reference to wnating to become a mother.  I have heard one doctor with positive responses about me becoming pregnant, however the others are no so positive.  We are wanting to become pregnant at this time, and I am/was so confused on what to do.  After reading some of your posts I feel more confidant.  I am on warfin (coumadin, I know I can handle the heprin stomach injections throughout the pregnancy.  I just know prayer and faith will work out for me.  My first step is finding me a good high risk doctor in Tennessee or surrounding states.</description>
		<content:encoded><![CDATA[<p>I am 38 and have had my mitro valve replacement(mechanical valve) since 2005.  I&#8217;m going through some sort of phase in reference to wnating to become a mother.  I have heard one doctor with positive responses about me becoming pregnant, however the others are no so positive.  We are wanting to become pregnant at this time, and I am/was so confused on what to do.  After reading some of your posts I feel more confidant.  I am on warfin (coumadin, I know I can handle the heprin stomach injections throughout the pregnancy.  I just know prayer and faith will work out for me.  My first step is finding me a good high risk doctor in Tennessee or surrounding states.</p>
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		<title>By: nikki</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2009/04/22/heart-surgery-pregnancy-and-baby-delivery/comment-page-1/#comment-41388</link>
		<dc:creator>nikki</dc:creator>
		<pubDate>Sun, 07 Aug 2011 18:37:43 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2009/04/22/heart-surgery-pregnancy-and-baby-delivery/#comment-41388</guid>
		<description>hi, im 24 and i had a mitral vlave replacement 4 years ago it was my 3rd heart operation since then i have regular palpatation. i took warfarin 8mg a day but my partner and i decided to try for a baby. my dr took me off warfarin and put me on fragmin injection just over 2 months ago and ive found out that im about 6 weeks pregnant. i wasnt due to see my heart specalist for a few months yet but im now being referred to him to be seen early. this is my first pregnancy i dont know what to expect. can any one help. x</description>
		<content:encoded><![CDATA[<p>hi, im 24 and i had a mitral vlave replacement 4 years ago it was my 3rd heart operation since then i have regular palpatation. i took warfarin 8mg a day but my partner and i decided to try for a baby. my dr took me off warfarin and put me on fragmin injection just over 2 months ago and ive found out that im about 6 weeks pregnant. i wasnt due to see my heart specalist for a few months yet but im now being referred to him to be seen early. this is my first pregnancy i dont know what to expect. can any one help. x</p>
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		<title>By: Kristina Pettersson</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2009/04/22/heart-surgery-pregnancy-and-baby-delivery/comment-page-1/#comment-40592</link>
		<dc:creator>Kristina Pettersson</dc:creator>
		<pubDate>Mon, 25 Jul 2011 15:33:58 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2009/04/22/heart-surgery-pregnancy-and-baby-delivery/#comment-40592</guid>
		<description>I am a 33 year old, 2 time heart surgery patient.  First time was in Australia when I was 19, Ross procedure aortic valve replacement.  This procedure was chosen so that I would be albe to have children and would not have to use blood thinning medication.  
24 weeks into my first pregnancy with my son I was told by my cardiologist that I had an aortic aneurysm and was told to be very aware and careful.  I had weekly ultrasounds until he was born via cesarian.  10 months later, at 31 years of age, I had to have valve reparation (was to be a complete replacement with bovine but they found it could be fixed when they were in there) and an aortic root graft (Gelweave Valsalva Vascutec prosthesis). This was almost 2 years ago.  Now I am pregnant with my second child and really would like to have a VBAC.  My cardiologist in Sweden said this should be possible, we will see.</description>
		<content:encoded><![CDATA[<p>I am a 33 year old, 2 time heart surgery patient.  First time was in Australia when I was 19, Ross procedure aortic valve replacement.  This procedure was chosen so that I would be albe to have children and would not have to use blood thinning medication.<br />
24 weeks into my first pregnancy with my son I was told by my cardiologist that I had an aortic aneurysm and was told to be very aware and careful.  I had weekly ultrasounds until he was born via cesarian.  10 months later, at 31 years of age, I had to have valve reparation (was to be a complete replacement with bovine but they found it could be fixed when they were in there) and an aortic root graft (Gelweave Valsalva Vascutec prosthesis). This was almost 2 years ago.  Now I am pregnant with my second child and really would like to have a VBAC.  My cardiologist in Sweden said this should be possible, we will see.</p>
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		<title>By: Emily</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2009/04/22/heart-surgery-pregnancy-and-baby-delivery/comment-page-1/#comment-38730</link>
		<dc:creator>Emily</dc:creator>
		<pubDate>Sat, 11 Jun 2011 15:21:28 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2009/04/22/heart-surgery-pregnancy-and-baby-delivery/#comment-38730</guid>
		<description>I had my Aortic valve replaced and the base rebuilt when I was 16.  (Mechanical Valve) I am on Coumadin and was advised not to have children, and told it was possible but expensive.  I went on heparin shots when I became pregnant in 2004.  I was a &quot;outpatient&quot; in the hospital in my hometown so I could go in every day and have my blood levels checked.  My Cardiologist has an awesome PA who called me and adjusted my meds every day if needed.  I had frequent ultrasounds for the first 4 months, but doctors backed off of that when all was normal.  Other than a very bruised prego belly, the only scare was when my blood pressure spiked (which resulted in an ambulance ride).  All was OK.  I had a C section and was taken off all blood thinners (of coarse) before the surgery.  My daughter is 6 now and definitely worth every second of the pregnancy! (Though I am nervous about having another- I&#039;m a Mom now.)  The only lasting damage that could have possibly been caused by the experience is the weakening of the bones in my spine.  It has not been studied fully that I am aware of- but there is a theory that high doses of heparin can weaken your bones. 
Good luck to your Sister!</description>
		<content:encoded><![CDATA[<p>I had my Aortic valve replaced and the base rebuilt when I was 16.  (Mechanical Valve) I am on Coumadin and was advised not to have children, and told it was possible but expensive.  I went on heparin shots when I became pregnant in 2004.  I was a &#8220;outpatient&#8221; in the hospital in my hometown so I could go in every day and have my blood levels checked.  My Cardiologist has an awesome PA who called me and adjusted my meds every day if needed.  I had frequent ultrasounds for the first 4 months, but doctors backed off of that when all was normal.  Other than a very bruised prego belly, the only scare was when my blood pressure spiked (which resulted in an ambulance ride).  All was OK.  I had a C section and was taken off all blood thinners (of coarse) before the surgery.  My daughter is 6 now and definitely worth every second of the pregnancy! (Though I am nervous about having another- I&#8217;m a Mom now.)  The only lasting damage that could have possibly been caused by the experience is the weakening of the bones in my spine.  It has not been studied fully that I am aware of- but there is a theory that high doses of heparin can weaken your bones.<br />
Good luck to your Sister!</p>
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		<title>By: Ashish</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2009/04/22/heart-surgery-pregnancy-and-baby-delivery/comment-page-1/#comment-37566</link>
		<dc:creator>Ashish</dc:creator>
		<pubDate>Sun, 24 Apr 2011 12:23:21 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2009/04/22/heart-surgery-pregnancy-and-baby-delivery/#comment-37566</guid>
		<description>My sister had also changed mitral valve in year 2004 but dr. advished her that can not have baby .
So please give some suggestion about this that in future can they have any baby.</description>
		<content:encoded><![CDATA[<p>My sister had also changed mitral valve in year 2004 but dr. advished her that can not have baby .<br />
So please give some suggestion about this that in future can they have any baby.</p>
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		<title>By: DARLENE</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2009/04/22/heart-surgery-pregnancy-and-baby-delivery/comment-page-1/#comment-20582</link>
		<dc:creator>DARLENE</dc:creator>
		<pubDate>Fri, 09 Apr 2010 21:51:35 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2009/04/22/heart-surgery-pregnancy-and-baby-delivery/#comment-20582</guid>
		<description>I HAD A VALVE REPLACEMENT 8 WEEKS AFTER MY BABY WAS BORN, MY BABY WAS FINE THANK GOD, BUT MY PREGNANCY WAS TOTALLY HIGH RISK. I HAD EVERY IMAGINABLE MACHINE ATTACH TO ME. I VISITED MY CARDIOLOGIST DURING PREGNANCY, HE ADVISED NO LONG LABOUR AND TO REST A LOT, I WAS GIVEN AN EPIDURAL AFTER 12 HOURS OF LABOUR AND THEY TRIED TO ELIMINATE AS MUCH PAIN AS POSSIBLE BECAUSE THE PAIN WOULD CAUSE MY PRESSURE TO INCREASE AND THE RISK OF HIGH PRESSURE WAS A SERIOUS PROBLEM, BUT THEY CUT ME FROM FRONT TO BACK, AND EVERYTHING WAS FINE</description>
		<content:encoded><![CDATA[<p>I HAD A VALVE REPLACEMENT 8 WEEKS AFTER MY BABY WAS BORN, MY BABY WAS FINE THANK GOD, BUT MY PREGNANCY WAS TOTALLY HIGH RISK. I HAD EVERY IMAGINABLE MACHINE ATTACH TO ME. I VISITED MY CARDIOLOGIST DURING PREGNANCY, HE ADVISED NO LONG LABOUR AND TO REST A LOT, I WAS GIVEN AN EPIDURAL AFTER 12 HOURS OF LABOUR AND THEY TRIED TO ELIMINATE AS MUCH PAIN AS POSSIBLE BECAUSE THE PAIN WOULD CAUSE MY PRESSURE TO INCREASE AND THE RISK OF HIGH PRESSURE WAS A SERIOUS PROBLEM, BUT THEY CUT ME FROM FRONT TO BACK, AND EVERYTHING WAS FINE</p>
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