PPCM Awareness Week - May 10th-17th

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family planning

Family Planning After Peripartum Cardiomyopathy (PPCM) Protecting Your Heart. Planning Your Future

Peripartum Cardiomyopathy is a serious heart condition that occurs during the last month of pregnancy or within five months postpartum. For many women, the heart may heal over time—but for others, it may remain weakened. Another pregnancy could place your life at risk.

Family Planning After PPCM:

Risk of Recurrence:

Contraceptive Counseling is Critical

Contraceptive Counseling is Critical

Even if heart function improves, there's still a risk PPCM could return in a future pregnancy.

Women with lingering heart damage (reduced ejection fraction) face significant risks of heart failure or death in subsequent pregnancies.

Contraceptive Counseling is Critical

Contraceptive Counseling is Critical

Contraceptive Counseling is Critical

 Birth control should be discussed early—ideally before hospital discharge or at the first postpartum follow-up. Avoid estrogen-based methods if heart function is impaired, as they can increase blood clot risk.

Safer Options May Include

Contraceptive Counseling is Critical

Safer Options May Include

  1. Progestin-only pills ("mini pill")
  2. Hormonal IUD (Mirena, Kyleena)
  3. Copper IUD (non-hormonal)
  4. Implant (Nexplanon)
  5. Permanent sterilization (tubal ligation or vasectomy)

Partner Involvement Helps

Future Pregnancy Discussions

Safer Options May Include

Educating partners or family members can help with shared decision-making and emotional support.

Future Pregnancy Discussions

Future Pregnancy Discussions

Future Pregnancy Discussions

 If considering another pregnancy, a cardiologist and high-risk OB-GYN should evaluate your heart health.

You may need an MRI, ECHO, or BNP blood test before trying again.

Some women may be advised to avoid pregnancy completely for their safety.

What You Can Do Today?

Future Pregnancy Discussions

Future Pregnancy Discussions

Schedule a postpartum cardiology visit

  • Ask your OB-GYN for contraceptive options safe for heart health
  • Advocate for yourself—your life matters 
  • Visit LetsTalkPPCM.org for resources, survivor stories, and support-guidance 

heart mom Tips

Tips for a PPCM Heart Mom


“Dealing with a serious illness can change your relationships with the people in your life,” Dr. Szabo said. “And chronic pain or illness can frustrate you, your friends and your family. How you and others respond to the stress of your condition can affect the quality of your relationships.”


Here are ways you can keep your relationship with your partner strong:


  • Remember, you are still you. This illness does not define you.
  • Keep communication open—be open and honest. People only understand what you are thinking or feeling if you tell them.
  • Express your needs, feelings, and ideas honestly and directly, without putting down or hurting others.
  • Don’t lie about your symptoms.
  • Use “I” statements to describe problems. That way, your partner doesn’t feel blamed or criticized, and you keep the focus on your needs and wants.
  • Avoid endless complaining, which can be draining. Instead, talk about how you can change the parts of your life that are making you unhappy.
  • Adopt a positive outlook. Try to find humor in situations.
  • Use honesty and transparency to foster closeness.
  • Remember how you and your partner overcame difficult situations in the past and use those strategies now.
  • Allow room for a “time out.” Serious illnesses can cause feelings of anger and depression. Give yourself and your partner room to feel your emotions and take a moment alone.
  • Remain intimate. Intimacy does not necessarily mean sex.  It means spending time together—holding hands, reading together, talking, etc.
  • Find time to do the things you love.
  • Let others know what to expect of you as you heal—and what not to expect.
  • Let go of guilt about not doing the same things or going to the same places.
  • Be gentle with yourself.
  • Commit to getting and staying emotionally and spiritually strong.

Why this conversation matters:

  Some birth control methods can increase cardiovascular risks, while others may be safer choices. 

Educated decisions save lives.

  

  • PPCM can recur in future pregnancies, and the risk can be life-threatening.
  • Hormonal contraceptives, especially those with estrogen, may increase the risk of blood clots or worsen heart failure symptoms.
  • Non-hormonal or progestin-only options may be safer but still require medical guidance.
  • Healthcare providers don’t always discuss this, especially if they aren’t familiar with PPCM.
  • Family planning is critical for PPCM survivors to avoid unplanned pregnancies that could strain a weakened heart.

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