Once a woman is pregnant, although the administrative power is in her hands, it does not mean that everything is worry-free, such as when she is sick, the pregnant woman is upset, the whole family is upset, and even the doctors who diagnose the disease are upset, because the disease itself or the drugs used to treat it may have adverse effects on the fetus, such as affecting fetal development, or even causing fetal malformations.
Hypertension during pregnancy is one of them. The basic concept refers to the fact that hypertension found after 20 weeks of pregnancy and blood pressure can usually return to normal after the end of pregnancy. However, as with common cases of hypertension, hypertension during pregnancy may have adverse effects on the body, ranging from mild cases that may not have any symptoms to severe cases that may have significant dizziness, headache and other symptoms associated with elevated blood pressure, and may induce a variety of clinical complications, such as proteinuria and even heart failure.
Migraines during pregnancy increase the risk of hypertension
A new U.S. study has found that severe migraines increase the risk of complications during pregnancy and childbirth, with pregnant women over the age of 35 at greatest risk.
Researchers at Montefiore Medical Center in New York surveyed 90 pregnant women who had seen an emergency room for severe migraines during pregnancy. It was found that 20 percent of the pregnant women had gestational hypertension (pre-eclampsia), compared to 8 percent of the general population. In addition, 19% of pregnant women with migraine had low birth weight children, compared to 8% of those without migraine, and the risk of pregnancy complications was eight times higher in women over 35 years of age with severe migraine than in the general population.
Who can get into trouble with blood pressure during pregnancy?
1. Hypertensive disorders of pregnancy tend to occur after 20 weeks of pregnancy
Gestational hypertension is a disease that is unique to women during pregnancy. It generally develops after 20 weeks of pregnancy, when blood pressure is normal without pregnancy, but after 20 weeks of pregnancy, blood pressure reaches or exceeds 140/90 mmHg, accompanied by edema and even urinary protein, a condition called gestational hypertension. Although the cause of gestational hypertension is still not completely clear, experts believe that it is related to malnutrition, advanced age and genetic factors.
2. Hypertensive disorders in pregnancy can endanger the health of mother and child
Have you ever noticed that your blood pressure is measured at every pregnancy test? This is because hypertension during pregnancy may cause complications such as pulmonary edema, acute renal failure, acute left heart failure, cerebrovascular accident and diffuse intravascular coagulation in pregnant mothers, among which, cerebrovascular accident and diffuse intravascular coagulation are very dangerous and are the main causes of death in pregnant mothers with hypertension. It can cause insufficient blood supply to the placenta and reduced placental function, which may lead to intrauterine distress, growth restriction, and even fetal death or neonatal death.
3.How to determine whether you have hypertensive disorders in pregnancy
(1) Blood pressure greater than or equal to 140/90mmHg on more than two occasions after 20 weeks of pregnancy.
(2) Edema, or even ascites in severe cases.
(3) Proteinuria is detected.
(4) Dizziness, nausea and vomiting, abdominal pain, blurred vision.
(5) Sudden onset of convulsions or coma.
If 2 to 3 of the above conditions are present, there is a problem of hypertension in pregnancy. At this time, pregnant mothers should be alert and should immediately go to the hospital for further examination so that it can be controlled and treated as early as possible.
What should I do if I have hypertension in pregnancy?
1. Do your maternity checkup on time. When the blood pressure is found to be abnormally high, the doctor will help the mother-to-be to measure the blood pressure, and when the blood pressure is found to be abnormally high, the treatment will be suggested in time, then the mother-to-be can treat the gestational hypertension in time.
2, nutrition during pregnancy to keep up, sleep to be sufficient. During pregnancy, the mother-to-be should add more protein and multivitamins, folic acid, eat more fresh fruits and vegetables, and develop the good habit of going to bed early and getting up early, and the anemic mother-to-be should pay special attention to blood supplementation.
3. Pay attention to genetic causes. If the mother-to-be’s family has a history of gestational hypertension, then it is more important to strengthen the blood pressure check during pregnancy and to treat abnormally high blood pressure in time.
4, the treatment of hypertension during pregnancy should use appropriate drugs, such as labetalol; contraindicated the use of drugs that affect the normal development of the fetus, such as ACEI or ARB class drugs.