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Article Category: Highlights

8 Heart Health Facts Moms-to-be Should Know

Published on March 11, 2025

Last updated 03:02 PM March 11, 2025

A pregnant woman's healthcare provider checks her blood pressure.

Pregnancy is a time of excitement and change. But it also puts added strain on the heart. In fact, cardiovascular conditions are one of the leading causes of maternal complications worldwide. Some women can develop heart conditions during pregnancy that can lead to serious complications if not recognized early. Knowing the risks and being proactive about your heart health can help prevent a life-threatening problem.

Here’s what every expectant mom should know about heart health during pregnancy.

1. High blood pressure can be silent—and dangerous.

Some women develop high blood pressure during pregnancy, even if they’ve never had it before. High blood pressure can lead to preeclampsia. It’s a condition that can cause organ damage and, in severe cases, seizures. When high blood pressure isn’t treated, it can increase the risk of stroke or heart failure. Checking your blood pressure regularly can help catch problems early.

What to do about high blood pressure

If you have a history of high blood pressure, heart disease or a family history of cardiovascular issues, tell your care team. Preconception counseling is essential if you have a known heart condition. Your physician may recommend that you monitor your blood pressure at home and report any sudden swelling, headaches or vision changes immediately.

2. Heart failure can happen—even in healthy moms.

A rare but serious condition called peripartum cardiomyopathy (PPCM) weakens the heart, usually in the last month of pregnancy or the months following delivery. If you have shortness of breath, swelling or often feel extremely tired, don’t ignore those signs.

What to do if you have shortness of breath or a racing heart

Talk to your provider immediately if everyday activities leave you exhausted or struggling to breathe. Other concerning symptoms include persistent coughing, swelling in your legs or feet and dizziness. Don’t ignore symptoms like chest pain, shortness of breath, severe fatigue or a racing heartbeat. These could signal a serious heart problem—seek help right away.

3. Pre-existing heart conditions and hypertensive disorders require extra care.

If you’ve ever had heart disease, a heart defect or high blood pressure—including hypertension or hypertensive disorders—pregnancy can increase your risks. Even women without symptoms before pregnancy may need extra monitoring.

What to do if you have a pre-existing heart condition

Talk with your provider early about a care plan. High-risk pregnancies may require specialist support, like a maternal-fetal medicine physician or cardiologist. If you’ve been diagnosed with a heart condition before pregnancy, ask your provider how it may affect labor and delivery. If something doesn’t feel right, speak up. You know your body best, and your concerns deserve attention.

4. Blood clots are more common during pregnancy.

Pregnancy increases the risk of thromboembolism, a serious condition where blood clots can travel to the lungs and cause a pulmonary embolism. The risk is even higher for women with a history of clotting disorders, obesity or limited mobility.

What to do to prevent blood clots

To reduce your risk of blood clots, stay active, stay hydrated and watch for warning signs like leg swelling, redness or pain. If you notice these, call your provider right away. If you’re on bed rest, ask your provider about ways to improve circulation. Learn the signs of deep vein thrombosis and pulmonary embolism.

5. A racing heartbeat may be abnormal.

You can expect some changes in heart rhythm during pregnancy, but arrhythmias (irregular heartbeats) can be a sign of something more serious. Hormone changes, increased blood volume and underlying conditions like thyroid disorders can all contribute to an irregular heartbeat.

What to do about a racing heart

If your heart races often, feels like it’s skipping beats or you feel dizzy or faint, let your provider know immediately. Keep track of when these symptoms happen and whether they occur at specific times, such as during physical activities or when your stress levels are high.

6. Postpartum recovery still puts stress on the heart.

The risk of heart complications doesn’t end at delivery. Many serious conditions, including heart failure or high blood pressure, can develop in the weeks or months after childbirth. Postpartum heart issues can be life-threatening if you don’t address them.

What to do during the postpartum period

Keep all postpartum checkups, even if you feel fine. Watch for new symptoms like chest pain, shortness of breath or extreme fatigue. If you had high blood pressure during pregnancy, continue monitoring it after delivery. Be aware that cardiovascular complications can develop up to a year postpartum, and follow-up care is so important for your long-term health.

7. Your hospital choice matters

For women at high risk, delivering in a hospital with access to specialized prenatal tests, genetic testing like amniocentesis, fetal evaluations and emergency cardiac care can make all the difference. Not all hospitals have the same level of maternal heart care, so it’s important to plan ahead. Choose a hospital that is equipped to handle pregnancy-related cardiac emergencies.

Wellstar provides specialized care for mothers and babies close to home, including:

  • Wellstar Acworth Health Park: Perinatal cardiology
  • Wellstar Avalon Health Park: Perinatal cardiology
  • Wellstar Cherokee Health Park: Perinatal cardiology
  • Wellstar Children’s Hospital of Georgia: Level IV NICU
  • Wellstar Cobb Medical Center: Emergency cardiac care, level III NICU, maternal-fetal medicine, medical genetics, perinatal cardiology
  • Wellstar Douglas Medical Center: Emergency cardiac care, maternal-fetal medicine
  • Wellstar East Cobb Health Park: Perinatal cardiology
  • Wellstar Kennestone Regional Medical Center: Emergency cardiac care, Level III NICU, maternal-fetal medicine, medical genetics, perinatal cardiology
  • Wellstar MCG Health Medical Center: Cardio-obstetrics, emergency cardiac care, maternal-fetal medicine, medical genetics
  • Wellstar North Fulton Medical Center: Emergency cardiac care, medical genetics
  • Wellstar Paulding Medical Center: Emergency cardiac care, medical genetics, perinatal cardiology
  • Wellstar Spalding Medical Center: Maternal-fetal medicine
  • Wellstar Vinings Health Park: Perinatal cardiology
  • Wellstar West Georgia Medical Center: Emergency cardiac care

What to do about your hospital choice

If you are high-risk, consider hospitals with advanced cardiac care and those that have expertise in pregnancy-related heart conditions. Talk to your care team well in advance about your birth plan, especially if you have a heart condition. If possible, tour the hospital beforehand and ask about its capabilities in managing pregnancy-related heart complications.

8. Mental health and stress impact heart health.

Anxiety and stress can affect your heart. If you’re feeling overwhelmed, talk to someone. Your mental health is just as important as your physical health. Depression, anxiety and even post-traumatic stress disorder are common in pregnancy and postpartum, and they can impact heart health.

What to do to keep your mental health in check

Access mental health resources and practice stress management techniques to help you manage your mental health. Simple practices like deep breathing, mindfulness and connecting with loved ones can help lower stress levels. Remember, you are empowered to take control of your health—talk with your provider or a support person and get the help you need.

Take Action for a Healthier Pregnancy.

Eat well, stay active and avoid smoking or alcohol. These efforts can protect your heart and your baby’s health. Small, consistent changes—like reducing salt intake or walking daily—can make a difference.

Regular prenatal visits are just as important. Remember, knowledge is power. Stay informed, speak up when something feels off and choose a hospital that meets your needs. These simple steps can help you take control of your heart health and reduce the risk for you and your baby.

Find an OB/GYN or perinatal cardiologist and learn about labor and delivery at Wellstar.

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Media Room Heart Care Womens Health
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New Robotic Surgery System at Wellstar Kennestone Brings Next-Level Care to the Community

Touch-sensitive technology. More precision. Better surgical images. A new robotic surgery platform at Wellstar Kennestone Regional Medical Center features all this and more. What does that mean for people in our community facing a complex surgery? Everything.

The Da Vinci 5 (DV5) platform allows experienced surgeons at Wellstar Kennestone to be even more precise during delicate procedures. Patients bleed less, heal with smaller scars and usually go home sooner.

“At Wellstar Kennestone, we’re redefining what’s possible in surgical care,” said Lorrie Liang, senior vice president and president of Wellstar Kennestone and Wellstar Windy Hill. “The DV5 demonstrates that we’re not just adopting advanced technology—we are advancing the standard of care across the region.”

What is robotic surgery?

Robotic surgery is a type of minimally invasive surgery. The surgeon sits at a console and controls robotic arms equipped with tiny instruments. A 3D camera magnifies the surgical area. This allows the surgeon to see everything in high definition.

Wellstar Kennestone is one of the first hospitals in Georgia to offer the DV5. However, robotic surgery is not new at the hospital. Our surgeons began using Da Vinci Surgical System platforms in 2007. Today, we offer 17 state-of-the-art Da Vinci robotic surgical suites at several hospitals and two outpatient surgery centers. We use the system for many surgeries, including bariatric (weight loss), cancer and urology procedures.

A clear difference

Dr. Fritz Jean-Pierre has performed more than 2,500 bariatric surgeries in his career. And he’s excited about what the DV5 offers.

“The DV5 allows the surgeon to sense how much push-or-pull force they apply to delicate structures in the body,” said Dr. Jean-Pierre. “Essentially, the technology stops surgeons from putting too much strain on tissues as they maneuver the instruments. Less strain means less trauma and potential injury, leading to faster patient recovery.”

Dr. Jean-Pierre tailors surgery to each patient’s unique needs. The bariatric surgery he performs most often is the gastric sleeve. It involves removing a large portion of the stomach to limit food intake. Precision is essential, especially for patients who weigh more or have complex health conditions.

“After removing part of the stomach, the surgeon reconstructs the gastrointestinal tract. We use many sutures (stitches) to hold everything in place,” he said. “DV5 provides superior dexterity and control, leading to shorter, safer surgeries.”

Intuitive Surgical, the company that created the Da Vinci platform, designated Wellstar Kennestone as an “epicenter” for training in 2011. Surgeons from around the country come to Wellstar Kennestone to observe and learn robotic surgical techniques from Dr. Jean-Pierre and his colleagues.

The impact on outcomes

The DV5 allows surgeons to be more precise than ever, which affects patient outcomes. Dr. Scott Miller, a Wellstar urologist explained.

“The DV5 is ideal for many urologic procedures, such as prostate and kidney removal, bladder surgery and urinary tract reconstruction,” he said. “The improved range-of-motion and visualization features help us protect healthy tissues and nerves. As a result, we can lower the risk of serious side effects like infections and problems with bladder control and sexual function.”

Learn more about robotic surgery at Wellstar.

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Two men have an earnest conversation

Highlights

Health Equity in Action

The Weekly Check-up Atlanta


When Dr. Earl Stewart thinks about health equity, he thinks about patients who delay care because they can’t take time off work, who are seniors silently battling chronic disease in food deserts and who live in communities hit hard when summer heat bears down on the South.

“Health equity,” he said on  The Weekly Check-Up podcast, “means making sure every person, regardless of ZIP code, income or background, has access to the care they need delivered with dignity.”

Dr. Stewart is the medical director of health equity at Wellstar and an internal medicine physician. He’s at the forefront of building a more just healthcare system rooted in listening, proactive outreach and community-based care. His work is redefining what community health looks like in practice.

Health equity starts with access

One of the biggest misconceptions about health equity is that it’s only about insurance coverage. But that’s just the starting point.

“Access doesn’t mean only having a clinic nearby or having insurance,” Dr. Stewart said. “It means that care is affordable, culturally competent, geographically reachable and provided in a way that meets people where they are.”

In Georgia, especially in urban and rural areas, barriers to healthcare can have many forms: long travel times to the nearest physician, language barriers, gaps in preventive care and social factors like food insecurity and housing instability. Each of these affects whether patients seek care at all and what happens when they do.

That’s why Dr. Stewart is helping lead efforts at Wellstar to address care beyond hospital walls, including thinking outside the traditional healthcare model.

Food as medicine for chronic disease

Health happens everywhere, not just in exam rooms. For example, conditions like diabetes and hypertension, wo diseases that disproportionately affect ethnically minoritized and low-income populations, are directly linked to access, or lack of access, to healthy food options.

Wellstar is working to reduce the health impact of food insecurity and chronic disease across the state through:

  • Fresh food as medicine initiatives
  • Mobile Markets in partnership with Goodr
  • Partnerships with local organizations

“If you don’t have access to healthy foods, your ability to control your blood pressure or manage your blood sugar is already compromised,” Dr. Stewart said.

By addressing food insecurity head-on, Wellstar isn’t only treating illness—we’re preventing it through community investment and education.

Mobile health removes barriers

For patients who can’t easily get to a clinic or pharmacy, Wellstar is bringing the clinic to their neighborhoods. Through mobile health programs, including pop-up clinics and food markets, patients can get screened for high blood pressure, pick up healthy groceries or receive preventive education.

“These programs reflect a shift in strategy—from reactive to proactive and from system-centered to patient-centered care,” Dr. Stewart said. “This is PeopleCare in action.”

“Mobile care gives us the chance to address healthcare access in a tangible way,” he added. “It removes barriers before they become complications.”

Health risks presented by climate

In a season of extreme and dangerous weather events, Dr. Stewart noted the connection between climate and health risks, especially for older adults and low-income populations.

“We see emergency department visits spike when the temperatures rise,” he said. “Older adults, people who work outdoors and people with chronic heart and lung conditions are especially vulnerable. Heat isn’t just a weather issue—it’s a health equity issue.”

For communities with limited cooling, transportation or healthcare providers, rising temperatures create a dangerous, often deadly situation. Dr. Stewart sees climate resilience as part of the activities needed to build health equity, calling for stronger connections among climate data analytics, care strategies and community outreach.

Leading with empathy & listening with intention

Health equity starts with listening. Dr. Stewart grounds his leadership in the belief that every patient story matters and empathy is as important as data to the future of healthcare.

With Wellstar Mobile Markets, social determinants of health screenings and mobile health outreach units, Dr. Stewart, the Wellstar Center for Health Equity team and Wellstar clinicians are working to transform healthcare from the inside out.

“Equity is not just the right thing to do morally,” he said. “It’s how we get better outcomes for everyone.”

Hear the full conversation.

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Robert, a new grandfather, poses proudly with his daughter and her infant son. With Wellstar helping him manage his HCM, he can keep making memories with his growing family.

PeopleCare

RobertCare

Robert Frederick was living a typical life, going to work and spending time with his mother, siblings and children. But then it became hard to breathe when walking short distances or climbing stairs. He got dizzy. Perhaps most disturbingly, he passed out several times—once at a Braves baseball game he attended with his siblings.

"I didn't know what was going on!" Robert recalled.

Difficulty controlling AFib with medication

After passing out the first time, he went to urgent care and was then taken to the hospital by ambulance. He learned his symptoms were caused by atrial fibrillation (AFib), an irregular heartbeat.

Robert began to see Dr. David Caras, a Wellstar general cardiologist, and learned AFib is related to high blood pressure. Successfully managing high blood pressure often helps people keep AFib under control. Despite their efforts, AFib sent Robert to the emergency room two more times.

Suspicion of HCM

Dr. Caras reviewed Robert’s hospital records and found he had increased wall thickness of the left ventricle and a gradient—a pressure difference between the left ventricle and the aorta when the heart pumps. These findings were consistent with a condition called hypertrophic cardiomyopathy (HCM). Characterized by abnormal thickening of the heart muscle, this disease makes it difficult for the heart to pump blood effectively.

Dr. Caras referred Robert to Dr. Melissa Burroughs, an HCM specialist at Wellstar. As a Center of Excellence designated by the Hypertrophic Cardiomyopathy Association, Wellstar is one of the leading providers of comprehensive HCM care in Metro Atlanta.

"We have physicians in the group—designated HCM specialists—that are the point person of the patient’s care," Dr. Burroughs explained. “This includes close communication and collaboration with electrophysiologists, surgeons, advanced heart failure specialists, social workers and behavioral health professionals.”

A rare finding leads to Mayo Clinic Care Network collaboration

Robert said, “Dr. Burroughs wanted to do genetic testing to verify that I had HCM."

But genetic testing revealed a rare genetic variant—one not known to be associated with HCM. Dr. Burroughs called it a “diagnostic conundrum.” The genetic variant found was typically associated with a different cardiac disease that Robert did not have. However, he did have clear signs of HCM.

To investigate further, Dr. Burroughs collaborated with other HCM experts through the Mayo Clinic Care Network, of which Wellstar is a member. Mayo Clinic, which is also an HCM Center of Excellence, provided access to its unpublished database, finding Robert’s rare mutation was present in two other family groups with HCM.

“It’s very important that we add to the science—that we include our patients in the registry to enhance what is already known about HCM,” Dr. Burroughs said.

Robert added, “Dr. Burroughs is very persistent. She wanted to know, ‘Why are you having these problems? What’s the root cause?’ She went above and beyond to find that out.”

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