❤Heart Disease in Pregnancy

Two Hearts. One Responsibility.

Pregnancy is a natural physiological process 

but it is also a cardiovascular stress test.

😥During pregnancy:

• Blood volume increases by up to 50%

• Cardiac output rises significantly

• Heart rate accelerates

• Systemic vascular resistance decreases.

For a healthy heart, these changes are well tolerated.

But for women with underlying or undiagnosed cardiac conditions, pregnancy may unmask serious risks.

💥Cardiovascular disease remains one of the leading causes of maternal morbidity worldwide.

👍And yet  with early assessment, proper monitoring, and multidisciplinary care  many cardiac conditions can be safely managed.

In this awareness series, we will explore:

✔ Physiological vs pathological symptoms

✔ When shortness of breath is not “normal”

✔ Common cardiac conditions in pregnancy

✔ Risk stratification before conception

✔ Labor planning and postpartum monitoring

Because protecting the mother’s heart

means protecting two lives.

Dr Rabab cares

#DrRababCares 

#HeartDiseaseInPregnancy 

#MaternalHealth 

#SafePregnancy

In Islam, your health and your baby’s safety come first.

Medically, some women may fast safely  others should not.

If you are pregnant this Ramadan, speak to your doctor before deciding. 

#DrRababCares

 Valentine’s Reflection ❤

Love is not only flowers and gifts.

Sometimes, love is a mother choosing a safe delivery.

A couple waiting patiently for a heartbeat.

A woman showing up for her health despite fear.

As an OB/GYN, I see love in its bravest form every day.

Today, may we celebrate not only romance 

but care, responsibility, and the quiet strength of women.

Happy Valentine’s Day. 

 Dr Rabab Cares

#DrRababCares

 🧠The Rhythm of the Menstrual Cycle 

In the rush of modern life, we often overlook the natural rhythms that quietly guide our bodies.

The menstrual cycle is often reduced to “just a period.”

But in reality, it is a carefully orchestrated dialogue between the brain and the ovaries  led by FSH and LH, shaped by estrogen and progesterone, and expressed through the uterus.

🤔Each phase has intention.

Each hormonal shift has meaning.

Ovulation is not random.

Bleeding is not meaningless.

😥Even PMS is not “just moodiness.”

Hormonal changes influence energy, focus, sleep, appetite, emotional sensitivity, and resilience.

The cycle affects the whole woman  not just her reproductive organs.

🤐And yet, in many cultures, it remains something whispered about.

Minimized.

Sometimes even dismissed.

But the menstrual cycle is often called the “fifth vital sign” for a reason.

Irregularity may reflect stress.

Pain may reflect inflammation.

Absence may signal deeper endocrine imbalance.

When we listen to the cycle, we listen to the body’s intelligence.

🤗As we enter the stillness of the weekend, let’s shift the narrative 

from inconvenience

to insight

from stigma

to understanding.

Because women deserve not only care 

but awareness, respect, and informed support.

💭 What is one thing about your cycle that you wish had been explained to you earlier in life?

 Dr Rabab Cares

#DrRababCares 

#WomenHealth

 #MenstrualHealth 

#HormonalBalance 

 #WomenEmpowerment

 🤗Final Perspective: Beyond the Diagnosis

Hypertensive disorders of pregnancy are not defined by fear.

They are defined by physiology, risk assessment, and clinical judgment.

👍Throughout this series, we discussed: 

• Risk factors and placental dysfunction

• The role of uterine artery Doppler

• When to monitor and when to intervene

• Timing of delivery

The central message remains consistent:

Pregnancy is dynamic.

Risk evolves.

Management requires continuous reassessment  not static labels.

💥Gestational hypertension and preeclampsia are not managed by one number, one test, or one decision.

💥They are managed through:

• Structured surveillance

• Timely escalation

• Context-based decisions

• And individualized care

👁Most pregnancies remain safe.

Good outcomes are not accidental  they are the result of systematic follow-up and clinical preparedness.

Medicine does not promise certainty.

It provides structured protection.

Dr Rabab Cares

#DrRababCares 

#HypertensiveDisordersOfPregnancy

#GestationalHypertension

#Preeclampsia

#HighRiskPregnancy

#MaternalFetalMedicine

#AntenatalCare

 💥Timing of Delivery in Gestational Hypertension How Decisions Are Made

In gestational hypertension,

the question is rarely if delivery will happen 

but when.

Timing of delivery is a balance between:

 • Maternal safety

• Fetal maturity

• Disease stability over time

There is no single gestational age that fits all cases.

🔹 When expectant management is appropriate

Delivery is usually deferred when: 

• Blood pressure remains in the mild to moderate range

• There are no symptoms of preeclampsia

• Laboratory results are normal

• Fetal growth and wellbeing are reassuring.

In these cases, continued pregnancy under close surveillance is safe and appropriate.

🔹 When delivery should be considered earlier

Delivery is indicated or strongly considered when: 

• Blood pressure becomes severe or difficult to control

• Features of preeclampsia develop

• Maternal symptoms appear

• Laboratory abnormalities emerge

• Fetal growth restriction or compromise is detected.

At this point, prolonging pregnancy may increase risk

without meaningful fetal benefit.

🔹 Gestational age matters

Management at:

 • 28 weeks

is very different from

• 37 weeks

As pregnancy advances,

the threshold for intervention becomes lower,

and the balance increasingly favors delivery.

🎯 Key principle:

In gestational hypertension,

delivery is not a failure of care 

it is often the definitive treatment.

Good timing is not based on blood pressure alone,

but on trend, context, and maternal–fetal assessment.

Dr Rabab Cares

#DrRababCares 

#GestationalHypertension

#TimingOfDelivery

#HypertensionInPregnancy

#HighRiskPregnancy

#MaternalFetalMedicine

#AntenatalCare

 ✨ When Fibroid  Location Matters More Than Size

Not all fibroids behave the same.

And not all pregnancy losses are chromosomal.

This was a 12-week pregnancy.

The baby was well.

No obvious fetal abnormalities.

But there was a large fundal fibroid about 12–13 cm.

And the placenta was located directly beneath it.

Over time, the fibroid underwent extensive degeneration and necrosis.

One month later… the pregnancy ended in a missed miscarriage.

💥What can we learn from this?

Most fibroids in pregnancy are harmless.

But when:

• The fibroid is large

• Located at the fundus

• Shares the same implantation site as the placenta

• And undergoes significant degeneration

The uteroplacental environment may be compromised.

Not always dramatically.

Sometimes gradually.

Sometimes silently.

Chronic vascular stress.

Mechanical distortion.

Inflammatory mediators from necrotic tissue.

All can affect placental perfusion.

Yesterday, we performed a myomectomy after about 8 weeks of that miscarriage. 

Not because fibroids always cause miscarriage.

But because in this specific case, anatomy mattered.

And preparation for a safer future pregnancy matters even more.

Medicine teaches us humility.

Sometimes it’s not about doing more.

It’s about understanding better.

Dr Rabab Cares 🤍

#DrRababCares 

#UterineFibroids

 #PregnancyCare 

#PlacentalHealth 

#Myomectomy