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Chest Pain During Pregnancy: Causes And Treatment

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Chest pain can be alarming, especially when it is during pregnancy. Although this pain could be normal, due to the many physiological changes that happen during pregnancy, it might become a cause of concern when associated with discomforting and prolonged symptoms. If you experience true pain, you should see your doctor and seek their advice.

In this post, MomJunction tells you why you may experience chest pain during pregnancy, and what you could do to get relief from it.

Is Chest Pain Normal During Pregnancy?

A feeling of fullness or discomfort in your chest is not abnormal during pregnancy (1). However, you may have to see a doctor if there is numbness down your arm or persistent pain, causing shortness of breath.

Causes Of Chest Pain During Pregnancy

Chest pain may be a result of a few regular problems that pregnant women face. It could also be due to something more severe. The likely causes of chest pain during pregnancy are:

1. Indigestion and heartburn

Indigestion, acid reflux, or eating fatty food can trigger heartburn, thereby causing pain or a burning sensation in the chest. These could be because of the increasing hormonal changes and the growing fetus that presses against your belly (2).

 [Read: Indigestion During Pregnancy]

2. Infection

Chest infection is one of the principal causes of chest pain. It is essentially the disease of the airways (3).

The causes mentioned above result in mild pain and may not be a cause for panic. But chest pain during pregnancy could also be due to a few serious causes, which we list down next.

3. Deep vein thrombosis:

Deep vein thrombosis (DVT) is a medical condition that refers to a blood clot in a deeper vein, usually in the leg or pelvis. The blood clot in the leg can travel up your body and reach the lungs, and may, therefore, cause chest pain, pulmonary embolism, or in some cases that go undiagnosed and untreated, death (4).

4. Coronary heart disease (CHD)

In this condition, plaque builds up in the walls of the arteries, causing them to get narrower over time. This may restrict the flow of blood, leading to chest pain or heart attack (5).

[Read: Exercises You Can Do During Pregnancy]

5. Asthma

If you are having mild asthma or have experienced it in the past, it could recur or worsen during pregnancy. There might be tightness in the chest because of that, resulting in chest pain (6).

6. Peripartum cardiomyopathy

This is a cardiac condition where the heart muscle becomes weak and diseased (7). Although rare, this condition might develop during the five months after delivery or a month before delivery. It may bring up symptoms such as chest discomfort, heart palpitations, malaise, and fatigue (8).

7. Aortic dissection

It is a tear in the wall of the aorta, the largest artery. Blood accumulates in between the layers of the aorta, eventually leading to aortic rupture that is presented with severe and tearing chest pain (9).

How To Get Relief From Chest Pain During Pregnancy?

In case your chest pain is accompanied by shortness of breath, dizziness, and weakness, you need to see a doctor as soon as possible. However, if the pain is benign, you may try the below measures.

Note that these do not help in treating the root cause and only ease the chest discomfort temporarily.

  1. Watch your posture: Make sure you are giving your lungs enough space.  Don’t slouch. Sit and stand straight to allow enough oxygen to enter your lungs.
  1. Take it easy: Don’t overtire yourself. Rest as much as you can.
  1. Use a cushion: Prop yourself up a little with a pillow while lying down on your bed. It could help you breathe easily.
  1. Don’t sleep soon after a meal: No matter how tired you are, try not to lie down immediately after a meal.
  1. Eat small portions: During pregnancy, it makes sense to eat smaller meals at regular intervals to prevent acidity, heartburn, GERD, etc.
  1. Prenatal supplements are vital: Don’t forget to take your prenatal vitamins regularly.
  1. Say no to stress: When you are pregnant, the stress levels can skyrocket. So, bust stress through meditation and yoga, or other ways that help you.
  1. Avoid things that cause bloating: Stay away from alcohol, caffeine, oily and spicy foods, all of which can cause gas and indigestion.
  1. Eat healthily: Eat healthy and balanced meals, which give you enough vitamins and minerals.
  1. Exercise: Regular exercise might keep you healthy and guard against infectious attacks.

Do Home Remedies Help Relieve Chest Pain?

People try some age-old remedies for easing indigestion or heartburn and other conditions that could cause chest pain. But there is little or no scientific evidence to support their effectiveness. Most of them are harmless, so you may want to try after talking to your doctor.

  • A glass of warm milk with honey.
  • A handful of almonds might help in digestion.
  • A cup of tender coconut water is an effective acid neutralizer.
  • Add two teaspoons caraway seeds in some boiling water and allow it to steep for 10 minutes. Drink the strained liquid; you may use sweeteners if you like.

Please note that there are no studies to support these claims, which are mostly used by women based on popular beliefs. 

[Read: How To Cure Heartburn During Pregnancy]

Minor chest discomfort is not a reason to panic. But when the pain becomes unbearable and prolonged, it might be serious and needs a doctor’s attention. You should be careful while choosing the home treatment measures and try them only after taking your doctor’s opinion.

If you have any experiences to share about the chest pain in pregnancy, write to us in the comment section.

References:

1. Chest Pain During Pregnancy: When to Worry; University of Pittsburgh Medical Center
2. Indigestion and heartburn in pregnancy; NHS (2017)
3. Chest Infection; NHS (2017)
4. Deep vein thrombosis (DVT) in pregnancy; NHS (2018)
5. Coronary heart disease and pregnancy; NHS (2018)
6. Nissar Shaikh; An obstetric emergency called peripartum cardiomyopathy; J Emerg Trauma Shock (2010)
7. Anirban Bhattacharyya et al.; Peripartum Cardiomyopathy A Review; Tex Heart Inst J (2012)
8. Lisa Kinney-Ham et al.; Acute Aortic Dissection in Third Trimester Pregnancy without Risk Factors; West J Emerg Med (2011)
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