If you have had an episode of SCAD, it is recommended that you avoid pregnancy altogether and use a non-hormonal form of birth control, such as an intrauterine device. Some heart medications can harm an unborn child and some SCAD complications can significantly increase a mother’s risk of carrying a baby to term. The decision to become pregnant is a serious one and should be made in concert with your cardiologist to assess your cardiac risks, maternal-fetal health specialists to assess a baby’s risk and with a recognition that there is an increased risk for recurrent SCAD with a pregnancy.