Pregnancy is an exciting and transformative time, but it also brings concerns about health and safety for both mother and baby. One aspect of pregnancy that often catches expectant mothers off-guard is the impact it can have on the circulatory system.

That’s where a vascular surgeon comes in. Let’s take a closer look at what a vascular surgeon can tell you about pregnancy, from common concerns to potential complications.

What is a vascular surgeon?

Before we dive into the specifics of pregnancy and vascular health, let’s make sure we’re all on the same page about what a vascular surgeon does.

Vascular surgeons are specialists who deal with the circulatory system, which includes arteries, veins, and lymphatic vessels. This means they diagnose and treat issues related to blood flow, such as aneurysms, deep vein thrombosis (DVT), and varicose veins.

They often work in collaboration with other medical professionals, such as obstetricians/gynecologists (OB/GYNs) and primary care physicians, to provide comprehensive care for patients.

How does pregnancy affect the circulatory system?

Pregnancy places unique demands on the body, including the circulatory system. As soon as a woman becomes pregnant, her body begins producing more blood to support the growing fetus.

By the end of the pregnancy, her blood volume may have increased by up to 50%. This increased blood flow can put stress on the veins and capillaries, potentially leading to issues such as varicose veins and DVT.

Another factor that can impact circulatory health during pregnancy is hormone changes. Hormones such as estrogen and progesterone can cause blood vessels to relax, which can lead to decreased blood flow and higher risk of blood clots.

What are common vascular concerns during pregnancy?

While every woman’s body is different, there are several vascular issues that tend to be more common during pregnancy:.

Varicose veins

Varicose veins are enlarged, swollen, and twisted veins that can be seen just beneath the surface of the skin. They often occur in the legs and feet and can be painful and itchy.

During pregnancy, the added blood volume, hormonal changes, and pressure on the veins from the growing uterus can all contribute to the development of varicose veins.

Spider veins

Spider veins are similar to varicose veins, but smaller and closer to the surface of the skin. They are often found on the face, legs, and chest. Spider veins can also be caused by the added blood volume and hormone changes during pregnancy.

Deep vein thrombosis (DVT)

DVT is a blood clot that forms in a deep vein, usually in the legs. It can cause pain, swelling, and redness in the affected area.

The risk of DVT is higher during pregnancy due to the added blood volume, hormone changes, and pressure on the veins from the growing uterus. If left untreated, DVT can be life-threatening.

Pulmonary embolism

A pulmonary embolism occurs when a blood clot (usually from a DVT) travels to the lungs and blocks blood flow. Symptoms can include chest pain, shortness of breath, and coughing up blood.

Like DVT, the risk of pulmonary embolism is higher during pregnancy.

How can a vascular surgeon help?

If you’re pregnant and experiencing any of the vascular issues mentioned above, it’s important to talk to your OB/GYN and a vascular surgeon as soon as possible.

Depending on the specific issue, a vascular surgeon may be able to offer solutions such as:.

Compression stockings

Wearing compression stockings can help improve circulation by squeezing the legs and encouraging blood flow. They can also help reduce swelling and discomfort in the legs.

Ultrasound

Ultrasound is a non-invasive imaging technique use to diagnose DVT and other circulatory issues. During pregnancy, ultrasound can be used to monitor the development of varicose veins and other vascular concerns.

Blood thinners

Blood thinners (anticoagulants) can be used to reduce the risk of blood clots. However, they are not typically used during pregnancy as they can increase the risk of bleeding and other complications.

Sclerotherapy

Sclerotherapy is a minimally invasive procedure that involves injecting a solution into a varicose vein, causing it to collapse and eventually fade from view.

When should you see a vascular surgeon?

If you’re pregnant and experiencing any of the vascular issues mentioned above (or any other unusual symptoms), it’s important to bring it up with your OB/GYN as soon as possible.

They may refer you to a vascular surgeon for further evaluation and treatment. It’s also a good idea to talk to your vascular surgeon about any concerns you have, even if you’re not experiencing symptoms. They can help you take a proactive approach to preventing vascular issues during pregnancy.

Conclusion

Pregnancy is an exciting time, but it can also be stressful and confusing, especially when it comes to your health and the health of your baby.

If you’re experiencing any vascular issues during pregnancy, it’s important to seek help from medical professionals such as your OB/GYN and a vascular surgeon. By working together, you can ensure that you and your baby stay healthy throughout the pregnancy and beyond.