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High blood pressure in pregnancy
Discussion in 'All Categories' started by Saman - Jan 8th, 2012 12:33 am.
I am just 11 weeks pregnant I have started suffering from high blood pressure.this is my second pregnancy and in my first pregnancy I had blood pressure too but that started when I was 8 months pregnant.My first baby got dead because of doctors nelgance as I was havin 170/110 blood pressure n my doctor was still waiting for normal birth.thay had a sudden c section as I was already havin pain but my had had breathing problem and died when he was only 6 another doctor recommended me it safe to have it?
re: High blood pressure in pregnancy by Dr M.K. Gupta - Jan 8th, 2012 11:53 pm
Dr M.K. Gupta
Dr M.K. Gupta
Dear Saman

Although a lot of women that are pregnant with high blood pressure have healthy babies without serious problems, high blood pressure could be dangerous for both the mother and the fetus. Women with pre-existing, or chronic, high blood pressure may have certain complications while pregnant tha individuals with normal blood pressure level. However, some women develop high blood pressure while they are pregnant (known as gestational hypertension).

The results of high blood pressure vary from mild to severe. High blood pressure can harm the mother's kidneys and other organs, and it can cause low birth weight and early delivery. In the most serious cases, the mother develops preeclampsia - or "toxemia of pregnancy"--which can threaten the lives of both the mother and also the fetus.
What Is Preeclampsia?

Preeclampsia is really a condition that typically starts following the 20th week of pregnancy and is related to increased blood pressure level and protein within the mother's urine (as a result of kidney problems). Preeclampsia affects the placenta, also it can affect the mother's kidney, liver, and brain. When preeclampsia causes seizures, the condition is known as eclampsia--the second leading reason for maternal death within the U.S. Preeclampsia is another leading reason for fetal complications, including low birth weight, premature birth, and stillbirth.

There isn't any proven method to prevent preeclampsia. Nearly all women who develop signs of preeclampsia, however, are observed at close range to reduce or avoid related problems. The only method to "cure" preeclampsia is to provide the baby.
How Common Are Hypertension and Preeclampsia in Pregnancy?

Hypertension problems occur in 6 % to eight percent of pregnancies in the U.S., about 70 % of which are first-time pregnancies. In 1998, more than 146,320 cases of preeclampsia alone were diagnosed.

Even though proportion of pregnancies with gestational hypertension and eclampsia has always been about the same in the U.S. over the past decade, the rate of preeclampsia has grown by nearly one-third. This increase arrives in part to a increase in the amount of older mothers and of multiple births, where preeclampsia occurs more often. For instance, in 1998 birth rates among women ages 30 to 44 and also the number of births to women ages 45 and older were at the highest levels in 3 decades, according to the National Center for Health Statistics. Furthermore, between 1980 and 1998, rates of twin births increased about 50 percent overall and 1,000 percent among women ages 45 to 49; rates of triplet and other higher-order multiple births jumped more than 400 percent overall, and 1,000 percent among women within their 40s.
Who Is More prone to Develop Preeclampsia?

Women with chronic hypertension (hypertension before becoming pregnant).
Women who developed high blood pressure or preeclampsia during a previous pregnancy, particularly if these conditions occurred at the start of her pregnancy.
Women who are obese prior to pregnancy.
Pregnant women younger than 20 or higher age 40.
Women who are pregnant using more than one baby.
Women with diabetes, kidney disease, rheumatoid arthritis, lupus, or scleroderma.

How's Preeclampsia Detected?

Unfortunately, there isn't any single test to calculate or diagnose preeclampsia. Key signs are increased blood pressure level and protein within the urine (proteinuria). Other symptoms that seem to happen with preeclampsia include persistent headaches, blurred vision or sensitivity to light, and abdominal pain.

All of these sensations can be brought on by other disorders; they can also exist in healthy pregnancies. Regular visits with your doctor help him or her to trace your blood pressure and level of protein inside your urine, to order and analyze blood tests that detect signs and symptoms of preeclampsia, and to monitor fetal development more closely.
Just how can Women with High Blood pressure level Prevent Problems During Pregnancy?

If you are thinking about expecting and you've got hypertension, talk first for your doctor or nurse. Taking steps to manage your blood pressure level before and during pregnancy - and getting regular prenatal care - significantly help toward ensuring your well-being and your baby's health.

Before getting pregnant:

Be sure your blood pressure level is in check. Lifestyle changes such as limiting your salt intake, taking part in regular physical activity, and losing weight if you are overweight can be helpful.
Discuss with your doctor how hypertension might affect you and your baby during pregnancy, and you skill to avoid or lessen problems.

If you take medicines for the blood pressure, ask your physician whether you need to alter the amount you are taking or quit taking them during pregnancy. Experts currently recommend avoiding angiotensin-converting enzyme (ACE) inhibitors and Angiotensin II (AII) receptor antagonists during pregnancy; other blood pressure medications may be OK for you to use. Do not, however, stop or improve your medicines unless your doctor lets you know to do so.

While you are pregnant:

Obtain regular prenatal health care.
Avoid alcohol and tobacco.

Talk for your doctor about any over-the-counter medications you are taking or are thinking about taking.

Does Hypertension or Preeclampsia During Pregnancy Cause Long-Term Heart and Blood Vessel Problems?

The results of hypertension during pregnancy vary depending on the disorder along with other factors. According to the National Hypertension Education Program (NHBPEP), preeclampsia doesn't in general increase a woman's risk for developing chronic hypertension or other heart-related problems. The NHBPEP also reports that in females with normal blood pressure level who develop preeclampsia after the 20th week of the first pregnancy, short-term complications--including increased blood pressure--usually disappear within about About six weeks after delivery.

Some women, however, might be more likely to develop high blood pressure or other heart disease later in life. More research is needed to determine the long-term health effects of hypertensive disorders in pregnancy and to develop better means of identifying, diagnosing, and treating women at risk for these conditions.

Even though high blood pressure and related disorders during pregnancy could be serious, nearly all women rich in blood pressure level and those who develop preeclampsia have successful pregnancies. Obtaining early and regular prenatal care is an essential reaction you can have for you and your baby.

With regards
M.K. Gupta
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