During Pregnancy Women Can Suffer From Different Types Of High Blood Pressure Such As:
- Gestational hypertension that develops after 20 weeks of pregnancy
- Chronic hypertension that was present before pregnancy or that occurs before 20 weeks of pregnancy
- Chronic hypertension with superimposed preeclampsia that occurs in women with chronic high blood pressure before pregnancy
- Preeclampsia, a type of pregnancy complication characterized by high blood pressure and signs of damage to another organ system.
Can High Blood Pressure Affect The Baby
High blood pressure in pregnancy can prevent blood from flowing to the placenta. Because the baby doesnt get enough nutrients or oxygen, they are at higher risk of being low birth weight or being born prematurely.
For this reason, its very important that high blood pressure is picked up early and treated.
Why Is High Blood Pressure During Pregnancy A Problem
The main risk of having high blood pressure during pregnancy is developing pre-eclampsia. Pre-eclampsia is a serious condition and it can affect both you and your baby. Read more about pre-eclampsia.
If your blood pressure remains mildly to moderately raised and you dont develop pre-eclampsia, the risk of pregnancy complications is low. However, it is important that your blood pressure and urine are checked regularly throughout your pregnancy to check for signs of pre-eclampsia.
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Monitoring Your Blood Pressure During Pregnancy
During pregnancy, blood pressure levels are an important indicator of potential problems, so the doctor typically takes a reading at each prenatal visit. Home blood pressure monitors can be used between doctors visits to keep track of blood pressure changes that might otherwise go unnoticed. Women who have high blood pressure before pregnancy, are at risk of preeclampsia or develop high blood pressure while pregnant are often advised to keep track of it at home.
At-risk women can and should measure their blood pressure at home, record it daily or a couple of times a week and bring these numbers to their prenatal visits, recommends Dr. Aagaard.
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What Are The Treatments For Preeclampsia
Delivering the baby can often cure preeclampsia. When making a decision about treatment, your provider take into account several factors. They include how severe it is, how many weeks pregnant you are, and what the potential risks to you and your baby are:
- If you are more than 37 weeks pregnant, your provider will likely want to deliver the baby.
- If you are less than 37 weeks pregnant, your health care provider will closely monitor you and your baby. This includes blood and urine tests for you. Monitoring for the baby often involves ultrasound, heart rate monitoring, and checking on the baby’s growth. You may need to take medicines, to control your blood pressure and to prevent seizures. Some women also get steroid injections, to help the baby’s lungs mature faster. If the preeclampsia is severe, you provider may want you to deliver the baby early.
The symptoms usually go away within 6 weeks of delivery. In rare cases, symptoms may not go away, or they may not start until after delivery . This can be very serious, and it needs to be treated right away.
How To Prevent High Blood Pressure During Pregnancy
Some risk factors can’t be changed, such as your genes or having certain health conditions. But you can make changes to reduce other risk factors, and these are important to know about when you’re trying to get pregnant.
Some steps you can take to reduce your high blood pressure risks:
- Maintain a healthy weight and diet. Talk to your provider about how much weight to gain during pregnancy. The DASH diet has been shown to lower blood pressure and cholesterol.
- Ask your provider if it’s safe to exercise. In most cases you can continue to exercise, though your provider may recommend modifying the types of activities you do.
- Manage stress, which can worsen high blood pressure
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Different Types Of High Blood Pressure In Pregnancy
There are 3 types of high blood pressure during pregnancy:
- Chronic hypertension: This is when you already had high blood pressure before you fell pregnant for example if you already had a medical condition such as kidney disease. Chronic hypertension also refers to when your high blood pressure is diagnosed in the first 20 weeks of pregnancy. Some women with chronic hypertension may develop pre-eclampsia when they are pregnant.
- Pregnancy-induced hypertension: This is high blood pressure that is diagnosed after 20 weeks of pregnancy. It is also called gestational hypertension.
- Pre-eclampsia: Pre-eclampsia is a serious condition that only occurs in pregnant women. As well as high blood pressure, it can also affect the kidneys, liver, blood and brain.
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Es ideal que veá a su médico antes de quedar embarazada. Esto le da a su proveedor de atención médica la oportunidad de ver si su presión arterial está bajo control y revisar sus medicamentos. Ciertos medicamentos no son seguros durante el embarazo y pueden dañar a su bebé.Durante el embarazo, la hipertensión crónica puede empeorar, especialmente si desarrolla preeclampsia encima de la hipertensión crónica. Si esto sucede, usted puede desarrollar complicaciones como la insuficiencia cardíaca congestiva, cambios en la visión, accidente cerebrovascular, convulsiones y problemas renales o hepáticos.
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High Blood Pressure When Pregnant Symptoms
The majority of people have no symptoms when their blood pressure becomes high. That is the reason why high blood pressure is sometimes referred to as the silent killer.
You are recommended to regularly have prenatal examinations to keep the level of your blood pressure normal. If it is abnormal, you need to get treatment from the doctor immediately.
Be mindful of the fact that even small fluctuations in your life such as diet, physical exercise, sleep quality and stress level can impact your blood pressure. Therefore, make sure you monitor your blood pressure on a regular basis.
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Things You Can Try Yourself To Reduce High Blood Pressure
Keeping active and doing some physical activity each day, such as walking or swimming, can help keep your blood pressure in the normal range. Eating a balanced diet and keeping your salt intake low can help to reduce blood pressure.
There isn’t enough evidence to show that dietary supplements such as magnesium, folic acid or fish oils are effective at preventing high blood pressure.
Calcium Supplementation For Preventing Hypertensive Disorders
A review of calcium supplementation during pregnancy for preventing hypertensive disorders concluded that calcium supplementation appears to approximately halve the risk of preeclampsia, reduce the risk of preterm birth, and the rare occurrence of the composite outcome: death or serious morbidity . Of note, most of the women in these trials had a low calcium diet and were supplemented with at least 1 g of calcium daily. However, the evidence for added calcium in the prevention of hypertensive disorders is conflicting .
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When Should I See My Healthcare Provider
Preeclampsia can be a fatal condition during pregnancy. If you’re being treated for this condition, make sure to see your healthcare provider for all of your appointments and blood or urine tests. Contact your obstetrician if you have any concerns or questions about your symptoms.
Go to the nearest hospital if you’re pregnant and experience the following:
- Symptoms of a seizure-like twitching or convulsing.
- Shortness of breath.
- Severe headache that won’t go away.
- Dark spots in your vision that don’t go away.
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What Causes High Blood Pressure When Pregnant
Possible causes of high blood pressure when you are pregnant include:
A family history of pregnancy-related hypertension
Age
Assistive reproductive technology
Being overweight or obese
Carrying more than one child
Drinking alcohol
Having diabetes or certain autoimmune diseases
Getting insufficient physical activity
Smoking
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High Blood Pressure During Pregnancy Treatment
If you have chronic hypertension, you may have been taking medicine for it before you became pregnant. Tell your doctor which medicine youre taking. He or she may say its okay to continue that medicine. But if the medicine isnt safe for your baby, you may need to switch to another medicine during your pregnancy. Like with all pregnancies, your doctor will check your blood pressure and urine during your regular appointments.
If you have gestational hypertension, your doctor will monitor your blood pressure and urine more closely. He or she will do this to watch for signs of preeclampsia. Your doctor may also monitor your baby. One way to do that is with an ultrasound. This is a painless test that lets your doctor see your baby inside your body.
How May High Blood Pressure During Pregnancy Affect My Baby
It is possible to have chronic hypertension and go on to have a healthy baby. However, chronic hypertension has the possibility of a number of adverse effects on your developing baby.These possible concerns include:
- Impairment of the babys growth
- Higher risk of breathing problems before or during labor
- Higher risk of placental abruption
- Possible side effects of the medications you are taking.
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What Is Gestational Hypertension
Gestational hypertension occurs when your blood pressure rises in the second half of your pregnancy, or earlier if youre carrying twins. Blood pressure is the force of blood pushing against artery walls through blood vessels. When this force measures more than 140/90 mm Hg and is first spotted at 20 weeks or later in a pregnancy, doctors consider your blood pressure to be high.
The good news is that, if you develop high blood pressure during pregnancy, it should go back to normal about 6 weeks after you give birth.
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