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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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Maria Fernanda Ortiz was a college junior, pursuing a degree in interior design. But at just 26 years old, her life took an unexpected turn. She discovered a lump in her breast, which led to a cancer diagnosis and expert, multidisciplinary care at Wellstar that would shape her professional aspirations in the future. Maria feels her hopeful attitude and compassionate care team at Wellstar helped her come through treatment with positive outcomes.

Feeling heard in healthcare

After Maria discovered a lump, she initially saw a doctor who went through the motions but didn’t seem to take her concerns seriously. 

“He was so sure it was nothing because I am so young,” she remembered. “I didn’t think it was cancer, but I wanted someone who would get to the bottom of it.”

She then saw her OB/GYN who referred her to Dr. Laura Pearson, a Wellstar breast surgeon at Wellstar North Fulton Cancer Center, for a second opinion. 

Maria got what she was looking for: a doctor who listened and would help her find answers. 

“Maria is the perfect example of a patient advocating for themselves,” Dr. Pearson said. “She did exactly what she was supposed to do for someone her age who finds a lump. When it didn’t go away, she got it looked at. When she didn’t feel like she was being heard, she didn’t let it go.”

 

A surprising cancer diagnosis

Dr. Pearson immediately performed an ultrasound in the office, followed quickly by a biopsy, which came back positive for cancer. 

"The diagnosis was scary," Maria said. “Dr. Pearson made it as simple as possible to understand by making sketches. She took the time to answer my questions—and she gave me hugs.”

Dr. Pearson added, “I try hard to be methodical and build a story: ‘This is what this means. This is how it applies to you.’ It’s important for patients to understand their plan and how it’s based very specifically on their situation.”

Maria was diagnosed with stage 2A breast cancer, meaning it was a small tumor but had spread to a nearby lymph node. 

“The stage helps us understand how the patient is going to do with standard treatment,” Dr. Pearson explained. “At stage 2A, we’re looking at a 90% survival rate.”

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Highlights

Epilepsy Expert Explains Diagnosis and Treatment

The Weekly Check-up Atlanta


Having or witnessing a seizure can be frightening. But clinicians have made remarkable advances in diagnosing the causes and preventing future seizures with medications and surgery.

“Seizures often seem scarier to bystanders than to patients,” said Dr. Thomas Holmes, a Wellstar neurologist. “Most patients don’t even remember them.”

Epilepsy is more common than many realize—about 1 in 26 people will be diagnosed in their lifetime. On WSB’s The Weekly Check-Up, Dr. Holmes explained how epilepsy is diagnosed, why not all seizures mean epilepsy and what treatments are available.

As director of neurodiagnostics at Wellstar, Dr. Holmes helped Wellstar Kennestone Regional Medical Center earn Level 3 Adult Epilepsy Center accreditation, recognizing its advanced care for patients with hard-to-treat seizures.

Diagnosing epilepsy

According to Dr. Holmes, a seizure happens when there's an “abnormal firing of neurons in the brain.” This electrical disturbance can cause a range of symptoms—some more visible than others. A person having a seizure may briefly lose consciousness, and other signs can include:

  • Trouble breathing or temporarily stopping breathing
  • Sudden falls without warning
  • Jerking movements or a sudden loss of muscle control
  • Loss of bladder or bowel control
  • Not responding to sounds or voices for a few moments
  • Staring spells, sometimes with rapid blinking

It’s important to know that not all seizures are caused by epilepsy. Other conditions like stroke, brain injuries, infections or tumors can also trigger them. That’s why gathering details from someone who witnessed the seizure—like a family member—can be helpful for doctors trying to make an accurate diagnosis.

When someone experiences a seizure, the first step is usually brain imaging. An MRI is often ordered to look for structural causes, and an EEG, which records the brain’s electrical activity, can help detect abnormal patterns. In some cases, patients may be asked to wear a portable EEG at home for several days to capture activity that doesn’t happen regularly. Both MRIs and EEGs are safe and painless.

For more advanced monitoring, Wellstar offers inpatient epilepsy monitoring units (EMUs) at Wellstar Kennestone, Wellstar MCG Health and Wellstar North Fulton Medical Centers. These specialized units provide around-the-clock observation and are among the few in Georgia offering this level of epilepsy care.

Medications and surgery for seizures and epilepsy

For most people with epilepsy, medication is the first and most effective treatment option. How long someone needs to stay on medication depends on several factors, including what’s causing the seizures and what clinicians find during ongoing monitoring.

Sometimes a seizure is triggered by a specific event, like a head injury. In those cases, Dr. Holmes explained, long-term medication may not be necessary. But if tests reveal a structural issue in the brain—like an area of damage—it usually means a higher risk of future seizures and longer-term treatment is often recommended.

“You don’t necessarily need to be on medication for life, even if you have epilepsy,” said Dr. Holmes. Patients are regularly monitored, treatment plans are highly personalized and care plans are revisited to ensure the best outcomes possible.

“If someone has been seizure-free for two to three years, has a normal EEG and no visible brain lesion, we’ll often discuss tapering off medication if the patient is open to it,” he said.

Some people may struggle with seizure control despite medication. About 10% of patients don’t respond well to drugs—but there are additional treatments available.

Wellstar’s EMUs can help determine where in the brain seizures are starting. In some cases, surgery to remove a small area of brain tissue can significantly reduce or even stop seizures. According to Dr. Holmes, this approach is successful in nearly 70% of cases.

Other advanced options include laser surgery or a responsive neurostimulation—when a small device is implanted in the brain to detect abnormal activity and deliver a pulse to stop a seizure before it starts.

Looking ahead, Dr. Holmes is optimistic. “There are going to be many options that are not drug-related,” he said. “Less invasive procedures are on the rise, and we’re learning more about the genetic causes of epilepsy—especially in children. Research and clinical trials may even lead us to gene therapies in the near future.”

Epilepsy care is evolving rapidly, and for many patients, that means more control, fewer side effects, and real hope for the future.

Epilepsy and Seizures Program at Wellstar

Our Epilepsy and Seizures Program is one of only a few such programs in Georgia. It provides comprehensive care to help children and adults manage seizures. The program also offers a streamlined pathway to determine if a patient is a candidate for advanced treatments, including minimally invasive surgery and deep brain stimulation.

Wellstar Children's Hospital of Georgia and Wellstar MCG Health in Augusta are Level 4 Comprehensive Epilepsy Centers, the highest designation by the National Association of Epilepsy Centers. Wellstar Kennestone is a Level 3 Adult Epilepsy Center.

Learn more about the Epilepsy and Seizures Program and Wellstar providers.

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Newsroom

Wellstar Selects Ketul J. Patel to Lead Next Chapter of PeopleCare

MARIETTA, Ga. (July 8, 2025) – The Wellstar Board of Trustees has selected Ketul J. Patel to become Wellstar Health System’s next president and chief executive officer. Patel currently serves as CEO of Virginia Mason Franciscan Health and president of the Pacific Northwest Region of CommonSpirit Health. He is expected to join Wellstar in late October.

Patel will succeed Candice L. Saunders, Wellstar’s current president and CEO, who announced her retirement in January following an exceptional career of service and accomplishment.

“We were fortunate to consider nearly 200 outstanding candidates from across the health care industry, including several strong internal leaders who reflect Wellstar’s deep talent,” said former Wellstar Board of Trustees Chair Frank Ros, who led the search committee. “Ketul stood out for his experience leading transformational growth while remaining focused on the needs of team members, patients, and the community.”

In his current role, Patel is responsible for 12 hospitals, more than 300 patient care locations, and 20,000 team members, including more than 5,600 employed and affiliated providers.

In January 2021, Patel led the merger of two of the Pacific Northwest’s leading health care organizations to form Virginia Mason Franciscan Health (VMFH), which today is one of Washington state’s largest premier health care providers. Under Patel’s leadership, VMFH became the only health system in Washington state to earn all “A” Leapfrog Patient Safety Grades, ranking among the best facilities in the nation.

Patel launched the VMFH Care Network in 2024 to provide expertise to independent hospitals and health systems throughout Washington, Alaska, Idaho, Oregon and Montana. He oversees the Benaroya Research Institute, which is internationally recognized for autoimmune disease research, and the Bailey-Boushay House, the first skilled nursing and outpatient chronic care management program in the U.S. designed specifically to meet the needs of people with HIV/AIDS.

“It’s an honor to join the Wellstar team and help carry forward its mission of providing compassionate, world-class care to every person, every time,” said Patel. “Thanks to the leadership of Candice and her strong executive team, Wellstar is positioned to be one of the Southeast’s leading health care providers for years to come. I’m excited about the potential created by Wellstar’s forward-thinking investments in technology and innovation, strategic partnerships with academic organizations such as Augusta University’s Medical College of Georgia, and its strong reputation as a great place to work.

“On a personal note, I look forward to becoming engaged in the metro Atlanta community and working alongside policymakers to expand access to care throughout Georgia,” said Patel.

Patel is a three-time honoree on Modern Healthcare’s list of the 100 most influential people in health care. He chairs the Washington State Hospital Association board and is past chair of the Greater Seattle Partners executive council. He also serves on the boards of Washington Roundtable, Challenge Seattle, and CEOs Against Cancer, and is a past member of the American Hospital Association Regional Policy Board.

Patel holds master’s degrees in health administration and business administration from the University of Pittsburgh and a bachelor’s degree from Johns Hopkins University.

“As we grow and evolve, it’s essential to have a leader who embraces both the heart and the strategy of health care,” said Saunders. “Ketul’s ability to connect with people on a personal level while navigating complex challenges ensures Wellstar will continue to thrive as a people-centered, forward-thinking organization.”

The Wellstar Board of Trustees is expected to confirm the selection later this month.

To learn more about Patel, visit wellstar.org/MeetOurCEO.

ABOUT WELLSTAR HEALTH SYSTEM

Wellstar personalizes the patient experience. We call it PeopleCare and it's only possible thanks to our 33,000 team members who provide expert compassionate care for every stage of life. PeopleCare also means we serve our communities as a non-profit health system, providing more than $1 billion annually in charity care and community programs, and operating the largest integrated trauma network in the State of Georgia. We embrace innovation and technology, nurture early-stage companies through our venture firm Catalyst by Wellstar, and train future generations of caregivers with academic institutions including the Medical College of Georgia. Wellstar honors every voice and is one of the Fortune 100 Best Companies to Work For.  To learn more, visit Wellstar.org.

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