Cmo Puedo Controlar Mi Hipertensin Arterial Durante El Embarazo
Aunque no existe una cura para la hipertensión crónica, hay maneras de manejar con éxito su condición durante el embarazo. El cuidar de sí mismo es la mejor manera de cuidar de su bebé en desarrollo.A continuación se presentan algunos ejemplos:
- Consuma una dieta saludable, y especialmente limitar su consumo de sodio
- Tome sus medicamentos para la presión arterial de la manera que se supone
- Mantenga todas sus citas prenatales
- Mantenerse físicamente activo, aunque su médico le puede recetar reposo en cama si desarrolla preeclampsia
- No fumar, beber alcohol o tomar drogas ilícitas
- Controle su aumento de peso no subír demasiado
Compilado usando información de las siguientes fuentes:Harms, R. W., Johnson, R. V., & Murray, M. M. . Mayo Clinic Guide to a Healthy Pregnancy. New York: HarperCollins Publishers.Mayo Clinic Staff. . Preeclampsia. Recuperado de The American College of Obstetricians and Gynecologists. . Your Pregnancy and Childbirth: Month to Month, Fifth Edition. Washington, DC: American College of Obstetricians and Gynecologists.
Does Hypertension In Pregnancy Increase Chances Of Cesarean
Early detection and proper management is the first step towards ensuring a healthy maternal and fetal outcome.
Since the cause of high BP cannot always be identified, certain precautions and lifestyle changes benefit both mother and child.
Those with chronic BP during pregnancy should avoid excessive weight gain and eating processed or junk foods. Restrict your salt intake and increase your protein intake.
Deepti was induced at 40 weeks and had a normal delivery, like she had hoped. To prevent her BP from rising drastically due to stress of labour, she was offered epidural during delivery.
In most situations, if blood pressure is controlled and the baby is growing well, pregnancy can be continued till 40 weeks. Induction of labour may be required in selected situations if there is any associated complication, Dr. Priti concludes.
This article has been written with inputs from Dr. Priti Arora Dhamija, who has over 16 years of experience as a fertility specialist and obstetrician-gynecologist. She has received training from the Indian Fertility Society in Assisted Reproductive Technologies and fertility enhancing laparoscopy.
Dr. Priti Arora Dhamija, MBBS, Maulana Azad Medical College, Delhi M.D, Lady Hardinge Medical College DNB Obstetrics & Gynecology Diploma in Pelvic Endoscopy, Kiel, Germany
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Treating High Blood Pressure
Similar to the treatment approaches for hypertension in non-pregnant patients, women who have high blood pressure prior to pregnancy can manage symptoms of hypertension through medication and lifestyle modifications. These are the same treatments used with preeclampsia as well.
Dr. Atlas says most mothers with elevated blood pressure will generally be treated with medications to lower the blood pressure. We use Labetalol and Nifedipine often for patients as they have generally been shown to be safe in pregnancy, he explains.
That said, Dr. Atlas does point out that some people may be on medications prescribed by internists or renal doctors that are not safe to take in pregnancy. “Medications such as ACE and ARB inhibitors can be potentially harmful to the developing fetus,” he explains.
In addition to medication, treating high blood pressure during pregnancy involves:
- Eating a healthy diet rich in fruits, vegetables, lean protein, and complex carbohydrates
- Limiting sodium
- If overweight, limiting weight gain
- Managing stress levels
- Avoiding alcohol
- Quitting smoking
If high blood pressure spikes too high and does not respond to medication and/or lifestyle accommodations, other possible treatments include bed rest and induction of labor. Particularly with preeclampsia, if a woman’s pressure is too high and her baby is viable , inducing labor will be considered.
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Foods To Avoid To Control Low Blood Pressure
Hypotension or low blood pressure causes many things. Sometimes it could be serious. So, it is important to restain low blood pressure. A healthy lifestyle can work against low blood pressure. Foods and physical exercise can play an important role in low blood pressure.
Foods are more important to control low blood pressure. This blog will give you information about how to control low blood pressure by avoiding some food.
What Are Possible Complications Of High Blood Pressure In Pregnancy
High blood pressure taxes the blood vessels, which in turn decreases blood flow to the liver, kidneys, brain, heart, lungs, uterus and placenta. When gestational hypertension isnt under control and the placenta isnt getting enough blood, fewer nutrients and oxygen make it to your baby, which can slow fetal growth.
And if gestational hypertension morphs into preeclampsia, premature delivery or placental abruption can occur, which is the too-early separation of the placenta from the uterus. In the worst of cases, stillbirth and eclampsia are possible. Untreated very high blood pressure can also lead to stroke.
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High Blood Pressure And Gestation
High blood pressure may increase your risk of complications during pregnancy.
You can have hypertension in pregnancy either as a continuation of a chronic problem that you had before you were pregnant or as a new problem that develops during your pregnancy, which is called gestational hypertension or preeclampsia.
Hypertensive disorders occur in 6% to 8% of pregnancies around the world, and about a quarter of hospital admissions for mothers during their pregnancy.
What Are Types Of High Blood Pressure Conditions Before During And After Pregnancy
Your doctor or nurse should look for these conditions before, during, and after pregnancy:1,11
Chronic hypertension means having high blood pressure* before you get pregnant or before 20 weeks of pregnancy.1 Women who have chronic hypertension can also get preeclampsia in the second or third trimester of pregnancy.1
This condition happens when you only have high blood pressure* during pregnancy and do not have protein in your urine or other heart or kidney problems. It is typically diagnosed after 20 weeks of pregnancy or close to delivery. Gestational hypertension usually goes away after you give birth. However, some women with gestational hypertension have a higher risk of developing chronic hypertension in the future.1,12
Preeclampsia happens when a woman who previously had normal blood pressure suddenly develops high blood pressure* and protein in her urine or other problems after 20 weeks of pregnancy. Women who have chronic hypertension can also get preeclampsia.
Preeclampsia happens in about 1 in 25 pregnancies in the United States.1,13 Some women with preeclampsia can develop seizures. This is called eclampsia, which is a medical emergency.1,11
Symptoms of preeclampsia include:
Some women have no symptoms of preeclampsia, which is why it is important to visit your health care team regularly, especially during pregnancy.
You are more at risk for preeclampsia if:1
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What Causes High Blood Pressure In Pregnancy
High blood pressure in pregnancy can be caused by many things, and there are many ways to identify and manage the problem.
The most common problem seen in pregnancy is low potassium in the blood. This can potentially lead to problems with the nerves and muscles controlling the heart.
Theres also been some research showing that high cholesterol levels in pregnancy may increase the risk of hypertension,
However, there are some things that cause pregnant women to experience this condition, namely:
- Genetic factors.
- Have an impoverished lifestyle or a physical disorder such as an asthma attack or depression.
- used illegal drugs during your lifetime.
- Have a family history of high blood pressure or diabetes.
During pregnancy, up to 30 % of women develop high blood pressure. High blood pressure is only found in about eight percent of all pregnant women.
Having it increases the risk of preeclampsia, placental abruption, premature labor, stillbirth, intrauterine growth restriction, and anemia.
How Will My Doctor Treat My High Blood Pressure While I Am Pregnant
The treatment will depend on the reason for your high blood pressure:
Chronic hypertension: If you are already taking medicine for high blood pressure, your doctor may want you to keep taking that medicine. If that medicine is not safe for the baby, your doctor might want you to change to another medicine or to stop taking medicine while you are pregnant. Your doctor will pay special attention to how your baby is growing. You might have ultrasound exams more often. You might have some other tests near the end of your pregnancy to make sure that your baby is healthy. Your doctor will watch closely for signs of preeclampsia.
Preeclampsia: How your doctor treats this condition depends on how close you are to your due date and how you and your baby are doing. The only treatment that stops preeclampsia is to deliver the baby. If your baby has to be born premature, it may have serious health problems. But your doctor may want your baby to be delivered early if you or the baby are too sick. If your doctor thinks it is safe for the pregnancy to go on, he or she will watch you and your baby very closely until delivery. You will see your doctor often in the office and get blood tests. Your baby will also get some tests to make sure the baby is healthy. You might stay home from work and rest in bed.
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How To Manage High Blood Pressure During Pregnancy
Being pregnant is one of the best feelings that you can have. The pleasure of carrying your baby in your womb is just unmatched and you cannot have a better experience than this one. But at the same time, it is also one of the toughest phases and you need to be very careful about developing any sort of problems that can cause damage you or your child. High blood pressure during pregnancy can be really bad for the health of both, you and your baby. Know the causes of high blood pressure to avoid them and learn how to manage high blood pressure during pregnancy.
There have been cases in the past when high blood pressure during the pregnancy period has caused abortions and some severe problems to the mother as well. Many natural ways to manage high blood pressure like yoga, meditation, massages and exercises have been found to be useful in addition to medical advice.
How To Control High Blood Pressure During Pregnancy
Do you know that approximately 10-15% of women havehigh Blood Pressure during pregnancy? In how many forms does high blood pressure occur during pregnancy? High BP can sometimes even cause severe health complications for both mother and developing baby. Women who had high blood pressure before pregnancy are athigher riskfor related complications during pregnancy than those with normal blood pressure.
A blood pressure that is greater than 140/90 mm Hg, or that is 15 degrees higher on the top number from where you started out before pregnancy, may be cause for concern. Here we will tell you about these forms and methods to control high BP in pregnant women.
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Data Extraction And Data Entry
Two review authors extracted data on outcomes, and discrepancies were resolved through discussion. If agreement was not reached, that item was excluded until further clarification was available from the authors. Data were entered onto the Review Manager software and checked for accuracy. There was no blinding of authorship or results.
What Are The Symptoms Of Preeclampsia
Possible symptoms of preeclampsia include
- High blood pressure
- Too much protein in your urine
- Swelling in your face and hands. Your feet may also swell, but many women have swollen feet during pregnancy. So swollen feet by themselves may not be a sign of a problem.
- Headache that does not go away
- Vision problems, including blurred vision or seeing spots
- Pain in your upper right abdomen
- Trouble breathing
Eclampsia can also cause seizures, nausea and/or vomiting, and low urine output. If you go on to develop HELLP syndrome, you may also have bleeding or bruising easily, extreme fatigue, and liver failure.
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Why It Is Important To Do This Review
Very high blood pressure needs to be lowered to protect the woman. This needs to be done in a controlled manner, to avoid complications for the mother and baby, While all antihypertensive drugs lower blood pressure, their comparative benefits and adverse effects when used for very high blood pressure during pregnancy remain uncertain.
The aim of this review is to compare the different types of antihypertensive drugs used for women with severe hypertension during pregnancy to determine which agent has the greatest comparative benefit with the least risk.
Puedo Tener Un Embarazo Saludable Con La Presin Arterial Alta
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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Se Puede Clasificar Mi Embarazo Como De Alto Riesgo
Un indicador de un embarazo de alto riesgo incluye ciertos problemas médicos crónicos, como la presión arterial alta. Por lo tanto, puesto que ya tiene hipertensión y ha quedado embarazada, su embarazo se clasifica automáticamente como de alto riesgo.Los embarazos de alto riesgo suelen necesitar asesoramiento especializado y el cuidado de un especialista de la salud. Lo más probable es ver un Perinatólogo- un obstetra que se especializa en la atención de embarazos de alto riesgo. Perinatólogos dan atención especializada a las mujeres que tienen condiciones médicas pre-existentes, así como las mujeres que desarrollan complicaciones durante el embarazo. Aprenda acerca de algunas de las complicaciones más comunes del embarazo aquí.Además, usted puede ser referida a un centro de atención perinatal, antes de el parto, para disminuir la probabilidad de que su bebé pueda enfermarse. Por lo general, estos centros trabajan en conjunto con los obstetras y una unidad de cuidados intensivos neonatales para proporcionar el mejor cuidado para usted y su bebé.
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 High Blood Pressure In Pregnancy
High blood pressure in pregnancy is defined as a systolic blood pressure of 140 mmHg or more, OR a diastolic blood pressure of 90 mmHg or more on 2 or more occasions, which are not associated with proteinuria.
High blood pressure is also referred to as gestational hypertension when it occurs in early pregnancy.
Preeclampsiais a disease that causes high blood pressure in the brain and heart during pregnancy. If left untreated, it can cause a number of problems including kidney failure, cognitive delays, hearing loss, andmuscle damage.
Although most cases of high blood pressure are due to the stress of the pregnant condition, some are caused by renal disease, hormonal abnormalities, endocrine diseases, or medications that may be taken by the mother or baby.
How Is Preeclampsia Diagnosed
Your health care provider will check your blood pressure and urine at each prenatal visit. If your blood pressure reading is high , especially after the 20th week of pregnancy, your provider will likely want to run some tests. They may include blood tests other lab tests to look for extra protein in the urine as well as other symptoms.
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How Is It Treated
Treatment depends on how close you are to your due date. If you are close to your due date and the baby is developed enough, your health care provider may want to deliver your baby as soon as possible.If you have mild hypertension and your baby is not fully developed, your doctor will probably recommend the following:
- Rest, lying on your left side to take the weight of the baby off your major blood vessels.
- Increase prenatal checkups.
- Consume less salt.
- Drink 8 glasses of water a day.
If you have severe Hypertension, your doctor may try to treat you with blood pressure medication until you are far enough along to deliver safely.
Preventing Hypertension During Pregnancy
Hypertension during pregnancy can cause complications for mother and child. Learn about the health issues that may occur and what can be done to reduce your risk.
The increased rate of multiple births and older mothers has contributed to a rise in certain types of hypertension during pregnancy age and carrying multiple babies are both risk factors for high blood pressure. But there are ways to prevent hypertension during pregnancy.
Types of Pregnancy Hypertension
Hypertension is defined as a reading greater than 140/90 millimeters of mercury , and it can greatly increase the risk of heart disease and heart failure, as well as stroke and kidney problems. Blood pressure is the term used to describe how much pressure, or force, blood puts on artery walls when the heart beats.
There are three forms of hypertension during pregnancy that women should know about:
Risk Factors for Pregnancy Hypertension
Certain risk factors for developing hypertension cant be changed, like age or race. For example, women older than 40 or younger than 20 have a higher risk of developing hypertension during pregnancy the same goes for African-American women. .
How to Prevent Pregnancy Hypertension
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