Twin Pregnancies Double Heart Disease Risk for Mothers in First Year After Birth

Pregnancy is a beautiful journey, but it also comes with health challenges. A recent study published in the European Heart Journal has found that mothers of twins have double the risk of heart disease-related hospitalizations in the first year after childbirth compared to mothers of single babies (singleton pregnancies).

Key Findings of the Study

Researchers analyzed 36 million hospital deliveries in the US Nationwide Readmissions Database (2010-2020). They found:

• Mothers of twins had a higher rate of hospital readmissions due to cardiovascular diseases like heart attack, heart failure, and stroke.
• Compared to mothers of single babies with normal blood pressure, mothers of twins were nearly twice as likely to be hospitalized for heart disease.
• If a twin pregnancy was complicated by high blood pressure (hypertensive disease of pregnancy), the risk increased more than eight times.
• However, in the long term, singleton mothers with high blood pressure had a higher risk of death than twin mothers with similar conditions.

Why Does This Happen?

• Carrying twins puts extra strain on the heart because the heart needs to pump more blood to support both babies.
• It takes weeks for the maternal heart to recover after childbirth, making twin mothers more vulnerable to heart complications.
• Fertility treatments, older maternal age, obesity, diabetes, and pre-existing heart disease can further increase the risk.

What Can Expecting Mothers Do?

1. Monitor Blood Pressure – If you have a twin pregnancy, track your blood pressure regularly.
2. Stay Active and Eat Healthy – Maintain a healthy diet and follow an exercise routine approved by your doctor.
3. Postpartum Follow-Up – Regular check-ups after delivery are crucial, especially in the first year.
4. Consult a Specialist – If you have pre-existing conditions, seek advice from obstetricians, cardiologists, or maternal-fetal medicine specialists.
5. Be Aware of Symptoms – Look out for signs like chest pain, shortness of breath, swelling, or dizziness, and seek medical attention immediately.

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A Consultant Obstetrician in Mumbai, emphasizes that India’s rising fertility treatments make this study highly relevant. Health professionals should monitor twin pregnancies closely and ensure proper postpartum care.

A doctor from Brigham and Women’s Hospital highlights that the first 12 weeks after birth (the fourth trimester) is a critical time for preventing long-term heart disease. Collaboration between obstetricians, cardiologists, and healthcare providers is essential to improve postpartum care and reduce risks.

Final Thoughts

If you are expecting twins or have recently given birth, prioritize your heart health. The risks are higher, but early detection, regular check-ups, and a heart-healthy lifestyle can help keep you safe.

Talk to your doctor today about postpartum heart health and take steps for a healthier future

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