Pre-eclampsia And Pregnancy Hypertension

What is high blood pressure?
Blood pressure is the pressure of blood on the walls of blood vessels whenever the heart contracts (squeezes) to pump blood through your body (see FAQ123 Treating High Blood Pressure). High blood pressure is also called hypertension. Hypertension can cause health problems. During pregnancy, severe or uncontrolled hypertension can cause complications for the mother and fetus.
What is chronic hypertension?
Chronic hypertension is high blood pressure that appears before you become pregnant or occurs during the first half of pregnancy (before 20 weeks).
The blood pressure readings are as follows:
Normal: Below 120/80 mmHg
Normal high: Systolic blood pressure 120-129 and diastolic less than 80 mmHg
Hypertension 1: Systolic blood pressure 130-139 or diastolic pressure 80-89 mmHg
Hypertension level 2: Systolic blood pressure ≥140 or diastolic ≥90 mm Hg
What is pregnancy hypertension?
Gestational hypertension is the first to occur in the second half of pregnancy (after 20 weeks). Although pregnancy hypertension usually goes away after giving birth, it can also increase your risk of future hypertension.
What factors cause hypertension during pregnancy?
High blood pressure during pregnancy can put pressure on your heart and kidneys and increase your risk of heart disease, kidney disease and stroke

Other complications include:
Delayed fetal development: High blood pressure can reduce the flow of nutrients to the baby through the placenta.


Pre-eclampsia And Pregnancy Hypertension

As a result, the baby has growth problems.
Pre-eclampsia: This condition usually occurs in women with chronic high blood pressure than women with normal blood pressure.
Preterm labor: If the placenta does not provide enough nutrients and oxygen to the baby, the decision to give birth early is better for the fetus than prolonging the pregnancy.
Premature placental abruption - The placenta soon separates from the wall of the uterus, is an obstetric emergency requiring immediate treatment.
Caesarean section: People with hypertension are more likely to have a cesarean section than women with normal blood pressure. A caesarean section carries the risk of infection, damage to internal organs and bleeding.
How to control chronic hypertension in pregnancy?
Your blood pressure will be monitored closely throughout pregnancy
You may need to monitor your blood pressure at home.


Pre-eclampsia And Pregnancy Hypertension

Ultrasound can be done during pregnancy to monitor fetal development. If you suspect growth problems, you may have additional tests that monitor the health of your unborn baby. These tests usually begin during the third trimester of pregnancy. If you have mild hypertension, your blood pressure may stay the same or even return to normal during pregnancy, and may stop treatment or reduce the dose. If you have high blood pressure or have health problems related to high blood pressure, you have
You may need to start or continue taking blood pressure medication during pregnancy.
What is preeclampsia?
Pre-eclampsia is a serious blood pressure disorder that can affect all organs of the pregnant woman's body. Pregnant women with pre-eclampsia with high blood pressure and other signs that the organ system is not working properly. One of these signs is proteinuria (an abnormal amount of protein in the urine).


Pre-eclampsia And Pregnancy Hypertension

Pregnant women with pre-eclampsia worsening will have other signs and symptoms called “warning signs”. These include low blood platelets, abnormal liver or kidney function, epigastric pain, changes in vision, fluid in the lungs, or severe headache. Very high blood pressure is also considered a warning sign.
When does preeclampsia occur?
It usually happens after the 20th week of pregnancy, usually in the third trimester. When it happens before 32 weeks, it is called early onset preeclampsia. It can also occur after birth.
What causes pre-eclampsia?
The cause of pre-eclampsia is not known in women, but the risk factor for pre-eclampsia in women
First pregnancy
Have had pre-eclampsia in a previous pregnancy or a family history of pre-eclampsia
History of chronic hypertension, kidney disease or both
From 40 years old and up
Multiple pregnancy
There are several diseases such as diabetes, venous thrombosis or lupus
Fat
In vitro fertilisation
What are the risks for me if pre-eclampsia occurs?
If pre-eclampsia occurs during pregnancy, the fetus may need to be born immediately, even if the baby is immature. Premature babies are at risk of serious complications.


Pre-eclampsia And Pregnancy Hypertension

Some complications of preterm birth last a lifetime and need regular treatment. Babies born very early can also die.
What are the risks to the mother if pre-eclampsia occurs?
Women with pre-eclampsia, especially those who are born prematurely, are at risk for cardiovascular and kidney disease, including heart attack, stroke and high blood pressure. Having one-time pre-eclampsia increases the risk of recurrence in the next pregnancy. Pre-eclampsia can also lead to seizures, a condition called eclampsia. It can also lead to HELLP syndrome
What is HELLP syndrome?
HELLP is understood to include hemolysis, elevated liver enzymes and decreased platelet counts. In this case, red blood cells are damaged or destroyed, and coagulation and liver disorders may occur.

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