Gestational hypertension Body dysmorphia develop Hyppertension preeclampsia. A decreased glomerular filtration rate may progress to oliguria and acute renal failure. Ferri FF. Chronic hypertension in pregnancy.

Hypertension in pregnancy -

Monitoring your blood pressure is an important part of prenatal care. If you have chronic hypertension, your health care provider will consider these categories for blood pressure measurements:.

Blood pressure needs to be taken and documented on two or more occasions, at least four hours apart. Sudden weight gain and swelling — particularly in the face and hands — often occurs with preeclampsia.

The swelling associated with preeclampsia is more severe than the typical swelling that happens during pregnancy.

Some blood pressure medications are considered safe to use during pregnancy. However, angiotensin-converting enzyme ACE inhibitors, angiotensin II receptor blockers and renin inhibitors need to be avoided during pregnancy.

Treatment is important. High blood pressure increases your risk of heart attack, stroke and other major complications.

And high blood pressure can be dangerous for your baby. If you need medication to control your blood pressure during pregnancy, your health care provider will prescribe the safest medication and dose. Take the medication exactly as prescribed.

Don't stop taking it or change the dose on your own. Low-dose daily aspirin often is recommended to lower the risk of preeclampsia in those who are at high risk. Studies have found aspirin to be safe during pregnancy.

If you have high blood pressure, schedule a preconception appointment with a health care provider who has expertise in managing pregnancies complicated by hypertensive disorders. Also meet with other members of your health care team, such as your primary care provider or cardiologist.

They'll look at how well you're managing your high blood pressure. They also may consider treatment changes before you get pregnant. If you're overweight, your health care provider will recommend losing weight before becoming pregnant.

During pregnancy, you'll see your health care provider often. Your weight and blood pressure will be checked at every visit. You also might need frequent laboratory tests. Your health care provider will closely monitor your baby's health, as well.

Frequent ultrasounds might be used to track growth. Fetal testing might be used to evaluate your baby's well-being. Your health care provider might also recommend that you track your baby's daily movements. Researchers continue to study ways to prevent preeclampsia.

Studies suggest that low-dose aspirin lowers the risk of preeclampsia in those who are at high risk. The American College of Obstetricians and Gynecologists recommends that they take a daily low-dose aspirin 81 milligrams starting late in the first trimester.

Your health care provider might recommend inducing labor before your due date to avoid complications. The timing is based on how well controlled your blood pressure is and whether you have end-stage organ damage.

It also depends on whether your baby has complications, such as slow growth. If you have preeclampsia and the condition is getting worse, you might be given medication during labor to help prevent seizures.

Breastfeeding is encouraged for most who have high blood pressure, even those who take medication. Discuss your medications with your health care provider before your baby is born.

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Sorry something went wrong with your subscription Please, try again in a couple of minutes Retry. Show references Pregnancy and high blood pressure. National Heart, Lung, and Blood Institute. Accessed May 16, Preeclampsia and high blood pressure during pregnancy. American College of Obstetricians and Gynecologists.

Ferri FF. In: Ferri's Clinical Advisor Elsevier; This is the lower second number in your reading. Your blood pressure falls because your heart is at rest between beats. Your blood pressure reading fits into one of five categories: Normal.

This is when your systolic blood pressure is between and your diastolic pressure is less than Stage 1 high blood pressure. This is when your systolic pressure is between or your diastolic pressure is between Stage 2 high blood pressure. This is when your systolic pressure is at least or your diastolic is at least Hypertensive crisis.

Call your health care provider right away if your blood pressure is this high. What pregnancy complications can high blood pressure cause? High blood pressure can cause problems for you and your baby during pregnancy, including: Problems for moms include: Preeclampsia. This is when a pregnant woman has high blood pressure and signs that some of her organs, like her kidneys and liver, may not be working properly.

Signs and symptoms of preeclampsia include having protein in the urine, changes in vision and severe headaches. Preeclampsia can be a serious medical condition.

Without treatment, preeclampsia can cause serious health problems, including kidney, liver and brain damage. In rare cases, it can lead to life-threatening conditions called eclampsia and HELLP syndrome.

Eclampsia causes seizures and can lead to coma. HELLP syndrome is when you have serious blood and liver problems. HELLP stands for hemolysis H , elevated liver enzymes EL , low platelet count LP. Gestational diabetes. This is a kind of diabetes that only pregnant women get.

Most women get a test for gestational diabetes at 24 to 28 weeks of pregnancy. Heart attack also called myocardial infarction.

Kidney failure. Placental abruption. This is a serious condition in which the placenta separates from the wall of the uterus before birth. If this happens, your baby may not get enough oxygen and nutrients in the womb. You also may have serious bleeding from the vagina.

The placenta grows in the uterus and supplies the baby with food and oxygen through the umbilical cord. Postpartum hemorrhage also called PPH. This is when a woman has heavy bleeding after giving birth. It usually happens 1 day after giving birth, but it can happen up to 12 weeks after having a baby.

Pulmonary edema. This is when fluid fills the lungs and leads to shortness of breath. This is when blood flow to your brain stops. Stroke can happen if a blood clot blocks a vessel that brings blood to the brain or when a blood vessel in the brain bursts open. Pregnancy related death.

This is when a woman dies during pregnancy or within 1 year after the end of her pregnancy from health problems related to pregnancy. Problems for babies include: Premature birth.

This is birth that happens too early, before 37 weeks of pregnancy. Even with treatment, a pregnant woman with severe high blood pressure or preeclampsia may need to give birth early to avoid serious health problems for her and her baby.

Fetal growth restriction. High blood pressure can narrow blood vessels in the umbilical cord. This is the cord that connects the baby to the placenta. It carries food and oxygen from the placenta to the baby. If you have high blood pressure, your baby may not get enough oxygen and nutrients, causing him to grow slowly.

Low birthweight. This is when a baby is born weighing less than 5 pounds, 8 ounces. Fetal death. When a baby dies spontaneously in the womb at any time during pregnancy. Neonatal death. This is when a baby dies in the first 28 days of life. What kinds of high blood pressure can affect pregnancy?

Two kinds of high blood pressure that can happen during pregnancy: Chronic hypertension. This is high blood pressure that you have before you get pregnant or that develops before 20 weeks of pregnancy.

About 1 in 4 women with chronic hypertension 25 percent has preeclampsia during pregnancy. If you have chronic hypertension, your provider checks your blood pressure and urine at each prenatal care visit. You may need to check your blood pressure at home, too.

Your provider also checks for signs of preeclampsia. Some blood pressure medicines, called ACE inhibitors and angiotensin receptor blockers, can harm your baby during pregnancy. During the first half of pregnancy, blood pressure often falls. If you have mild hypertension and took medicine for it before pregnancy, your provider may lower the dose of medicine you take.

Or you may be able to stop taking medicine during pregnancy.

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