Hypertension inpregnancy is not necessarily a dangerous condition, but it certainly requires special care (Read about: gynecology cervices Brooklyn). Some women have chronic hypertension before even getting pregnant, while others develop essentialhypertensionduring pregnancy.
Hypertension during pregnancy should be carefully followed and monitored due to its possible risks. Women who have or develop hypertension during pregnancy are at a greater risk for:
Hypertensionis defined when the high blood pressure is higher than 140/90 mmHg. Your health care provider will monitor your blood pressure closely during pregnancy, and if it is higher than 140/90 mmHg it can indicate a problem. However, keep in mind that not in all cases complications are developed. Many women reach to deliver their babies on time, if they do monitor their high pressure, lead a healthy life, avoid risk factors that increase the blood pressure, etc.
After the 20th week of pregnancy, essentialhypertensioncan lead to a serious condition called preeclampsia, which later can develop into eclampsia. Preeclampsia and especially eclampsia are very serious conditions that can be even fatal for the fetus and the mother. Every organ in the human body are affected and especially the brain and the kidneys.
But, not every woman who has high blood pressure develops preeclampsia or eclampsia. Why? There is a simple explanation for that. It is well known that some women are at a greater risk for having high blood pressure or even developing preeclampsia and eclampsia during pregnancy. Women who are over the age of 35, women who are obese and especially the one with BMI over 30 are at a greater risk of developing hypertension during pregnancy. A family history of cardiovascular diseases and a personal history of hypertension or cardiovascular problems are also important. Pregnancies with multiple fetuses are more likely to get complicated with hypertension and preeclampsia than having a single fetus pregnancy.
First of all the most important thing is to lead e healthy life. Eating various foods and especially fruits and vegetables, daily physical activity and weight loss can minimize the risk of developing preeclampsia.Taking medication during pregnancy is not really recommended as they do harm the developing fetus. However, in some cases they are necessary and should be taken as prescribed by your health care provider. Medications that are generally used to lower the high blood pressure like ACE inhibitors, renin inhibitors or ARBs are generally avoided.
Dmitry Bronfman, MD, is a board-certified gynecologist who specializes in all aspects of contemporary women’s health, preventive medicine, pelvic pain, minimally invasive and robotic surgery, and general, adolescent, and menopausal gynecology.
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