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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.
What Are High Blood Pressure Complications During Pregnancy
Complications from high blood pressure for the mother and infant can include the following:
- For the mother:preeclampsiaexternal icon, eclampsiaexternal icon, stroke, the need for labor induction , and placental abruption .1,4,5
- For the baby:preterm delivery and low birth weight .1,6 The mothers high blood pressure makes it more difficult for the baby to get enough oxygen and nutrients to grow, so the mother may have to deliver the baby early.
Discuss blood pressure problems with your health care team before, during, and after pregnancy.
Learn what to do if you have high blood pressure before, during, or after pregnancy.
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High Blood Pressure Treatment In Pregnancy Is Safe And Could Reduce Mother’s Risks
Treating high blood pressure during pregnancy is safe and may be helpful at lower thresholds than previously thought, a new scientific report says.
“For decades, the benefits of blood pressure treatment for pregnant women were unclear,” Dr. Vesna D. Garovic said in a news release. She led a committee of experts that reviewed and analyzed existing research. “And there were concerns about fetal well-being from exposure to antihypertensive medications.”
But the report, published Wednesday as a scientific statement from the American Heart Association in its journal Hypertension, said treatment may reduce a woman’s risk for severe high blood pressure without endangering her child.
High blood pressure, or hypertension, during pregnancy is a major cause of complications and death for mothers and their babies, and it increases women’s short- and long-term risks for cardiovascular disease. It also increases the risk for preterm delivery and low birthweight.
Among high-income countries, the U.S. has one of the highest maternal mortality rates for high blood pressure-related problems. Cardiovascular disease, including stroke and heart failure, now accounts for up to half of all maternal deaths in the U.S., where pregnancy-related stroke hospitalizations increased more than 60% from 1994 to 2011.
In the U.S., high blood pressure during pregnancy disproportionately affects women who are Black, American Indian or Alaska Native.
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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 cardÃaca congestiva, cambios en la visión, accidente cerebrovascular, convulsiones y problemas renales o hepáticos.
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What Are Recommended Blood Pressure Ranges During Pregnancy
Some increases in blood pressure are expected because your blood volume will increase and the pregnancy will be more demanding on your cardiovascular system in general. A normal blood pressure is a systolic blood pressure less than 120 mmHg and a diastolic blood pressure less than 80 mmHg.
The American College of Obstetricians and Gynecologists recommends treatment for high blood pressure if your systolic blood pressure is 160 mmHg or higher or if you have a diastolic blood pressure of 110 mmHg or higher. Sometimes treatment is recommended at lower levels in women who have other risk factors.
There is no clear way to prevent preeclampsia, but those at higher risk may be advised to take daily low-dose aspirin starting after 12 weeks of pregnancy to reduce their chances of developing this condition.
In severe cases, your healthcare provider may decide to deliver your baby. This is a decision between you and your doctor based on your individual risks and how your blood pressure is affecting the health of you and your baby.
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High Blood Pressure Symptoms In Pregnancy
In some cases the symptoms of high blood pressure during pregnancy may be subtle or go unnoticed. Because many changes take place when pregnant, it is important to know the symptoms of high blood pressure.
A blood pressure during pregnancy of 140/90 is considered high during pregnancy and a diagnosis of gestational hypertension is given. Severe high blood pressure in pregnancy is 160/110. A typical blood pressure is around 120/80.
Some signs of high blood pressure in pregnancy include:
- Severe headaches
- Excess protein in urine
- Changes in vision
- Exercise regularly
- Avoid smoking, drinking and substance abuse
Stress can also be a factor on the body during pregnancy so it is important to avoid stressful situations, if possible, and be sure to get enough rest. Breathing exercises, prenatal yoga, baths and prenatal massages are all ways to help beat stress and take care of the body while pregnant.
High Blood Pressure During Pregnancy
Some women have high blood pressure during pregnancy. This can put the mother and her baby at risk for problems during the pregnancy. High blood pressure can also cause problems during and after delivery.1,2 The good news is that high blood pressure is preventable and treatable.
High blood pressure, also called hypertension, is very common. In the United States, high blood pressure happens in 1 in every 12 to 17 pregnancies among women ages 20 to 44.3
High blood pressure in pregnancy has become more common. However, with good blood pressure control, you and your baby are more likely to stay healthy.
The most important thing to do is talk with your health care team about any blood pressure problems so you can get the right treatment and control your blood pressurebefore you get pregnant. Getting treatment for high blood pressure is important before, during, and after pregnancy.
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Monitor Your Weight :
- Preeclampsia is associated with hypertension and weight gain during pregnancy, so it is important to avoid gaining too much weight and to avoid gaining weight too quickly. Preeclampsia can lead to kidney and liver problems for the mother and complications for the baby.
- Being overweight also increases the risk of other health conditions during pregnancy, such as back aches, exhaustion, leg cramps, hemorrhoids, gestational diabetes, heart burn and aching joints.
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.
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What Are The Symptoms
High blood pressure usually doesn’t cause symptoms. You will probably feel fine, even if your blood pressure is too high.
Tell your doctor right away if you have any signs of very high blood pressure or preeclampsia, such as:
- A severe headache.
- Pain in your upper belly.
- Rapid weight gainâmore than 2 lb in a week or 6 lb in a month.
Is It Safe To Take High Blood Pressure Medication When You’re Pregnant
Some high blood pressure medications are safe during pregnancy and some are not, so check with your primary care provider and your OB or midwife if you already have high blood pressure. Its good to talk about it with them before youre thinking getting pregnant. If you already had hypertension, before you got pregnant, you provider may need to adjust your medication to something different. If youre taking a medication for your high blood pressure that is not considered safe in pregnancy and this wasnt changed for you prior to getting pregnant, you may need some closer follow ups and ultrasounds to make sure there was no danger caused to the baby.
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Should I Take Medication For High Blood Pressure
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What Can You Do To Take Care Of Yourself
To help control your blood pressure and have a healthy pregnancy:
- Don’t smoke. This is one of the best things you can do to help your baby be healthy. If you need help to quit smoking, talk to your doctor.
- Be sure to go to all of your prenatal checkups so your doctor or midwife can check your blood pressure. You may also want to check your blood pressure at home.
- Gain an amount of weight that is healthy for you. Your doctor or midwife can help you set a pregnancy weight goal.
- If your doctor says it’s okay, get regular exercise during pregnancy. Walking or swimming several times a week can help lower blood pressure. And it’s good for you and your baby.
- Try to keep your stress level low. This may be hard to do, especially if you continue to work, have young children, or have a hectic schedule. But try to find some time to relax.
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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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Types Of High Blood Pressure Disorders During And After Pregnancy
If you have high blood pressure before pregnancy, it will need to be managed during and after pregnancy.
In addition, some women who have a healthy blood pressure develop high blood pressure during or after pregnancy.
- Gestational hypertension is blood pressure greater than or equal to 140/90 that develops during pregnancy. Its typically diagnosed after 20 weeks of pregnancy or close to delivery.
- Preeclampsia is a combination of high blood pressure during pregnancy and signs that your organs are not working well, such as high protein levels in your urine. This can lead to life-threatening seizures or coma, a condition known as eclampsia. Women who have had preeclampsia have a higher risk of developing high blood pressure and heart disease later in life.
- HELLP syndrome is a more severe type of preeclampsia or eclampsia.
- High blood pressure disorders may continue after the baby is born. Some women may continue to have high blood pressure problems, including preeclampsia, eclampsia, or HELLP syndrome, after the birth of their child, or their high blood pressure may get worse.
- A sudden spike in blood pressure can also happen during pregnancy or after the baby is born. This is a medical emergency.
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