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Apr.09.2020
 Hypertension During Pregnancy

Hypertension During Pregnancy

High blood pressure (hypertension) is when the force of blood pumping through the arteries is too strong. Arteries are blood vessels that carry blood from the heart throughout the body. Hypertension during pregnancy can be mild or severe. Severe hypertension during pregnancy (preeclampsia) is a medical emergency that requires prompt evaluation and treatment.
Different types of hypertension can happen during pregnancy. These include:
  • Chronic hypertension. This happens when you had high blood pressure before you became pregnant, and it continues during the pregnancy. Hypertension that develops before you are 20 weeks pregnant and continues during the pregnancy is also called chronic hypertension. If you have chronic hypertension, it will not go away after you have your baby. You will need follow-up visits with your health care provider after you have your baby. Your doctor may want you to keep taking medicine for your blood pressure.
  • Gestational hypertension. This is hypertension that develops after the 20th week of pregnancy. Gestational hypertension usually goes away after you have your baby, but your health care provider will need to monitor your blood pressure to make sure that it is getting better.
  • Preeclampsia. This is severe hypertension during pregnancy. This can cause serious complications for you and your baby and can also cause complications for you after the delivery of your baby.
  • Postpartum preeclampsia. You may develop severe hypertension after giving birth. This usually occurs within 48 hours after childbirth but may occur up to 6 weeks after giving birth. This is rare.

How does this affect me?

Women who have hypertension during pregnancy have a greater chance of developing hypertension later in life or during future pregnancies. In some cases, hypertension during pregnancy can cause serious complications, such as:
  • Stroke.
  • Heart attack.
  • Injury to other organs, such as kidneys, lungs, or liver.
  • Preeclampsia.
  • Convulsions or seizures.
  • Placental abruption.

How does this affect my baby?

Hypertension during pregnancy can affect your baby. Your baby may:
  • Be born early (prematurely).
  • Not weigh as much as he or she should at birth (low birth weight).
  • Not tolerate labor well, leading to an unplanned cesarean delivery.

What are the risks?

There are certain factors that make it more likely for you to develop hypertension during pregnancy. These include:
  • Having hypertension during a previous pregnancy.
  • Being overweight.
  • Being age 35 or older.
  • Being pregnant for the first time.
  • Being pregnant with more than one baby.
  • Becoming pregnant using fertilization methods, such as IVF (in vitro fertilization).
  • Having other medical problems, such as diabetes, kidney disease, or lupus.
  • Having a family history of hypertension.

What can I do to lower my risk?

The exact cause of hypertension during pregnancy is not known. You may be able to lower your risk by:
  • Maintaining a healthy weight.
  • Eating a healthy and balanced diet.
  • Following your health care provider's instructions about treating any long-term conditions that you had before becoming pregnant.
It is very important to keep all of your prenatal care appointments. Your health care provider will check your blood pressure and make sure that your pregnancy is progressing as expected. If a problem is found, early treatment can prevent complications.

How is this treated?

Treatment for hypertension during pregnancy varies depending on the type of hypertension you have and how serious it is.
  • If you were taking medicine for high blood pressure before you became pregnant, talk with your health care provider. You may need to change medicine during pregnancy because some medicines, like ACE inhibitors, may not be considered safe for your baby.
  • If you have gestational hypertension, your health care provider may order medicine to treat this during pregnancy.
  • If you are at risk for preeclampsia, your health care provider may recommend that you take a low-dose aspirin during your pregnancy.
  • If you have severe hypertension, you may need to be hospitalized so you and your baby can be monitored closely. You may also need to be given medicine to lower your blood pressure. This medicine may be given by mouth or through an IV.
  • In some cases, if your condition gets worse, you may need to deliver your baby early.

Follow these instructions at home:

Eating and drinking

  • Drink enough fluid to keep your urine pale yellow.
  • Avoid caffeine.

Lifestyle

  • Do not use any products that contain nicotine or tobacco, such as cigarettes, e-cigarettes, and chewing tobacco. If you need help quitting, ask your health care provider.
  • Do not use alcohol or drugs.
  • Avoid stress as much as possible.
  • Rest and get plenty of sleep.
  • Regular exercise can help to reduce your blood pressure. Ask your health care provider what kinds of exercise are best for you.

General instructions

  • Take over-the-counter and prescription medicines only as told by your health care provider.
  • Keep all prenatal and follow-up visits as told by your health care provider. This is important.

Contact a health care provider if:

  • You have symptoms that your health care provider told you may require more treatment or monitoring, such as:
    • Headaches.
    • Nausea or vomiting.
    • Abdominal pain.
    • Dizziness.
    • Light-headedness.

Get help right away if:

  • You have:
    • Severe abdominal pain that does not get better with treatment.
    • A severe headache that does not get better.
    • Vomiting that does not get better.
    • Sudden, rapid weight gain.
    • Sudden swelling in your hands, ankles, or face.
    • Vaginal bleeding.
    • Blood in your urine.
    • Blurred or double vision.
    • Shortness of breath or chest pain.
    • Weakness on one side of your body.
    • Difficulty speaking.
  • Your baby is not moving as much as usual.

Summary

  • High blood pressure (hypertension) is when the force of blood pumping through the arteries is too strong.
  • Hypertension during pregnancy can cause problems for you and your baby.
  • Treatment for hypertension during pregnancy varies depending on the type of hypertension you have and how serious it is.
  • Keep all prenatal and follow-up visits as told by your health care provider. This is important.

This information is not intended to replace advice given to you by your health care provider. Make sure you discuss any questions you have with your health care provider.