Women often suffer from high blood pressure during pregnancy. The problem is classified as either chronic hypertension or gestational hypertension. Chronic hypertension is the condition when blood pressure was high before the pregnancy. In gestational hypertension the blood pressure of the woman was high only after getting pregnant for 20 weeks. This type of problem gets better in 6 weeks after delivery and usually resolves.
There is another type of blood pressure known as preeclampsia which develops during pregnancy. In this condition there is a protein in the urine. It is different from the other types of blood pressure and is also treated differently.
Women having chronic hypertension have more chances to have some serious problems during pregnancy. Blood pressure itself is a serious problem and can cause many disturbances like
- Heart failure
- Kidney failure
- Small fetus for gestational age
- Placental abruption
Women having high blood pressure must discuss their problem with the doctor so that the problem may be closely monitored regularly. It has to be controlled otherwise the above mentioned complications may arise. The doctors also check if the kidneys are working properly or not. Blood pressure also leads to the fetus growth problem so the doctor also checks if the fetus is growing normally or not. All this can be controlled but the detachment of the placenta is not possible to be controlled, anticipated or prevented. Still birth is a very depressing result of the high blood pressure so in order to prevent, sometimes the baby needs to be delivered early. There are many complications that are connected with high blood pressure.
If the blood pressure is mild or moderate, it can be controlled or reduced with drugs and medication but if the condition is severe, antihypertensive drugs are given to the patient. It depends on the condition of the patient whether to use drugs or not.
The gestational hypertension is usually experienced late in pregnancy and there is usually no need of treatment with drugs.
Reducing physical activity helps in lowering blood pressure if it is moderate or mild but severe high blood pressure can only be treated with good antihypertensive drugs. The antihypertensive drugs that are used in pregnancy are safe and typically do not cause any harm or birth defects to the developing baby.
Blood pressure not only causes problems in pregnancy but the patient is also unsafe to have any kind of surgery with high blood pressure. The surgery of tubal reversal requires general anesthesia and like other surgeries general anesthesia carries some risks. If the patient is suffering from high blood pressure, her surgery will be unsafe.
Women should check their blood pressure regularly. If it is not controlled then the baby is usually delivered at 37 to 39 weeks.
There should be proper and healthy diet management. The women should maintain their weight too. Every pregnant woman should follow her doctor’s recommendations for having a treatment if she is having a high blood pressure.
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