“There is no harm in getting pregnant with chronic diseases”

Expressing that the follow-up should not be neglected regarding the chronic diseases of expectant mothers who are preparing to become a mother with IVF method, and that pregnancy is a process in which metabolism changes for 9 months, IVF Specialist Op. Dr. Hüseyin Arık said, “Before getting pregnant, the expectant mother should have routine examinations. However, unfortunately, there are very few expectant mothers who apply this. Especially, expectant mothers with cardiac problems should be followed closely, because pregnancy is a process that exhausts the heart on its own. Blood flow increases and the heart is exposed to pumping more blood, the workload of the heart increases. Especially after the fifth month of pregnancy, the fatigue of the heart increases. It will be appropriate for expectant mothers who have had a heart attack before to apply to the cardiology and obstetrician before planning pregnancy and to make a pregnancy plan after the decision of both doctors. The main problem for a mother-to-be who has had a heart attack is deciding whether to bear the increased heart load during pregnancy. For this purpose, pregnancy may be allowed by performing stress tests, and sometimes pregnancy may not be allowed in advanced age mothers who are not suitable and develop heart failure. The tests conducted will guide us, ”he said.


Providing information for expectant mothers with cancer, organ transplant and diabetes history, Op. Dr. Arık said, “Chemotherapy application is used to stop and decrease the cell division of cancer cells by using chemotherapy drugs. However, the drugs used also have a negative effect on other body cells. Ovarian tissue is one of these negatively affected organs. Cancer drugs applied at an early age for any reason cause a decrease in ovarian tissue and the emergence of early menopause symptoms. The way to prevent this may vary depending on the chemotherapeutic drug and dose chosen, but the ideal and the accepted one; “It is the option of freezing the ovarian tissue before chemotherapy begins.”

Stating that ovarian freezing should be performed for patients who will receive chemotherapy due to cancer, Op. Dr. Arık said that this procedure can be done in two ways and gave the following information: “The first procedure is to take tissue from the ovary by laparoscopy and store it for later use under laboratory conditions. The second is to stimulate the ovarian cells as if you were doing IVF treatment and to remove the ovarian cell by entering it with a suitable needle under ultrasonography under sedation anesthesia, and then freezing it for later use. It is recommended to apply these procedures before chemotherapy begins in patients to be treated with chemotherapy in order not to encounter sad consequences such as loss of function of the ovaries. “


Stating that radiotherapy is applied in addition to chemotherapy in cancer patients, Op. Dr. Arık said, “Unlike the methods described above, an operation to remove the ovaries from the area to be given radioactivity can be planned laparoscopically in the cancer patient group who will only undergo radiotherapy. The name of this procedure is ‘laparoscopic ovarian transposition’ operation. Especially in the radiotherapy of the region we call the pelvis, the ovaries are rescued from the ligament holding the uterus by laparoscopy and fed from the main vein, and the abdomen is sutured higher and where radioactivity is not applied. Thus, the ovarian reserves of expectant mothers who will only be applied radioactivity will be preserved ”.


Stating that pregnancy will put an additional burden on the kidneys as well as the mother’s heart. Dr. Arık said, “In the event that the expectant mother who has had kidney transplantation for any reason wants pregnancy, her kidney function tests are normal and pregnancy can be allowed on the condition that the nephrology and transplant surgeon approves. The pregnancy process should be followed closely, especially after the 5th month. There may be changes due to compression of the urinary tract of the transferred kidney due to uterine enlargement in the following week of gestation. He said that it should be strictly controlled by ultrasonography ”and also said that kidney function tests should be done at frequent intervals.

Kiss. Dr. Hüseyin Arık continued his words as follows: “Pregnancy-related hypertension and urinary tract infections are more common in pregnant women who have undergone kidney transplantation. Appropriate treatment should be done without delay. “


Underlining that there is no harm in conceiving a mother with diabetes, Op. Dr. Arık said, “However, if diabetes is affected on the mother’s organ, pregnancy should be allowed after the examination of the heart, eye and kidney, which are the most affected organs. When the expectant mother is pregnant, her diabetic medications should be changed by her doctor and the subcutaneous needles, which we call insulin, should be started instead of the oral medication. Insulin use in pregnant women has no side effects on the baby. They can resume their oral medications after birth ”.

Emphasizing that blood glucose measurements should be done regularly during pregnancy and the exposure of the baby to high blood sugar should be prevented, Op. Dr. Arık said, “Since high blood sugar has unwanted effects on the brain and organ development on the fetus in the early weeks of pregnancy and high blood sugar cannot be compensated by the baby, it may lead to the development of unwanted unhealthy babies. It is okay for expectant mothers with chronic diseases to conceive after their close follow-up and treatments are arranged. However, the frequency of pregnancy follow-up is higher and more specific than other pregnant women, ”he concluded by saying.

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