How to Handle Heart Palpitations When You're Pregnant

Heart palpitations during pregnancy can be common, but that doesn’t mean you should ignore them. You’ll need to know when to talk to your doctor, what tests they might do, and how treatment works if needed. Knowing what to expect can help you stay calm and well-informed.

Pregatips
heart changes
When you experience heart palpitations during pregnancy, it’s natural to wonder what steps come next. Diagnosis and treatment are key parts of managing this symptom if it becomes frequent or uncomfortable. Your doctor will use specific tests to understand what’s happening with your heart and whether the palpitations are related to pregnancy or something else. The approach to treatment depends on how you’re feeling and what the results show. In most cases, the goal is to keep you and your baby safe while easing any discomfort. You might not always need medication, but it's important to know when medical help is necessary.



How Are Heart Palpitations During Pregnancy Diagnosed?

Your doctor will start by asking about your symptoms and medical history. Be sure to mention if you’ve had heart palpitations before, have a family history of heart problems, or have other conditions like thyroid disease. They’ll listen to your heartbeat to check for anything unusual. To get a clearer picture, they might suggest:
  • Blood tests: These check for anaemia, thyroid problems, or electrolyte imbalances that could be causing palpitations.
  • Electrocardiogram (ECG): This quick, safe test measures your heart’s electrical activity using sensors on your skin. It might involve light exercise to see how your heart responds, like walking on a treadmill.
  • Holter monitor: If an ECG doesn’t catch the palpitations, you might wear this device for up to a week. It records your heart’s rhythm during daily activities to detect any irregularities.

These tests help your doctor rule out serious causes and confirm whether your palpitations are just a normal part of pregnancy.

Managing and Treating Heart Palpitations During Pregnancy

You might not need treatment if your palpitations are mild and not caused by a serious condition. They often go away after you give birth when your body returns to its pre-pregnancy state. But you can take steps to reduce them:
  • Stay hydrated: Keep yourself hydrated throughout the day to support your heart and overall health. Avoid alcohol and nicotine as they can harm your baby and worsen palpitations.
  • Limit caffeine and sugar: Stick to one cup of coffee a day and cut back on chocolate or sugary foods. Avoid high-fat or high-salt foods too.
  • Try relaxation techniques: Deep breathing (in through your nose, out through your mouth) or meditation can calm your heart rate and ease stress.
  • Eat a balanced diet: Focus on nutritious meals to avoid low blood sugar or nutrient imbalances.
  • Practice healthy sleep habits: Go to bed at the same time each night and avoid screens an hour before bed to improve rest. Try to sleep on your left side as this position improves blood flow and takes pressure off major veins.

If an underlying condition like an arrhythmia is causing your palpitations, your doctor will create a safe treatment plan. They might prescribe medications like beta blockers to regulate your heart rhythm, but they’ll avoid these in the first trimester when your baby’s organs are forming. In severe cases, a procedure called cardioversion (using a timed electric current to reset your heart’s rhythm) might be recommended. This is considered safe during pregnancy.

Should You Avoid Exercise or Activity?

You don’t need to avoid exercise entirely, as gentle activities like walking or prenatal yoga can be safe and beneficial. However, avoid intense workouts that leave you overly tired or dehydrated because these can make palpitations worse. Always listen to your body, stay hydrated and take breaks as needed.

Will Heart Palpitations During Pregnancy Affect Labour or Delivery?

In most cases, heart palpitations during pregnancy won’t affect labour or delivery. They’re typically caused by normal changes like increased blood volume or hormones and usually resolve on their own. However, if you experience frequent or severe palpitations with symptoms like chest pain or dizziness, your doctor may want to check for underlying issues.

Tips to Stay Calm During an Episode

Follow these tips when heart palpitations strike during pregnancy:
  • Rest: Sit or lie down in a quiet, comfortable spot to reduce physical stress.
  • Focus on calm: Picture a peaceful scene or repeat a calming phrase to distract yourself.
  • Loosen clothing: Undo tight clothing around your neck or chest to feel more at ease.
  • Use grounding techniques: Focus on your senses, like feeling your feet on the ground, to stay present.

Heart palpitations during pregnancy can feel scary, but they’re usually a normal part of the incredible changes your body is going through. Still, it’s important to pay attention to your body and speak to your doctor if anything feels off. Most palpitations can be managed easily with proper diagnosis and care.

Motherhood comes with its joys and challenges; you’re not alone. Connect with other new moms in our support group to share, learn, and feel understood.

FAQs on How to Handle Heart Palpitations When You're Pregnant


  1. Do prenatal vitamins influence heart palpitations?
    No, prenatal vitamins usually don’t cause heart palpitations. In fact, low levels of certain nutrients can sometimes contribute to palpitations.
  2. Can sudden movements cause heart palpitations in pregnancy?
    Yes, quickly standing up or bending over can briefly increase heart rate and trigger palpitations.
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