> Pregnancy: high blood pressure, pre-eclampsia. Symptoms and treatment

high blood pressure and pregnancy are not necessarily a combination that is dangerous. The pre-eclampsia. Symptoms and cures. Here is what you need to know to take care of yourself, and your child.

high blood pressure in pregnancy

chronic Hypertension

chronic Hypertension with pre-eclampsia super-imposed

Preeclampsia

The risks

What to do

Have high blood pressure (hypertension) during pregnancy – is that you develop the condition before or after conception – requires special care. Here’s what you need to know about high blood pressure and pregnancy.

There are different types of high pressure during pregnancy?

sometimes high blood pressure occurs before pregnancy. In other cases high blood pressure develops during pregnancy. For example:

High blood pressure in pregnancy

women with high blood pressure in pregnancy see it develop high blood pressure after 20 weeks of pregnancy. Not c’è no excess of proteins in the urine or other signs of damage to the organs. Some women with high blood pressure in pregnancy sometimes develop preeclampsia.

Chronic hypertension

The chronic hypertension is high blood pressure present before pregnancy or that occurs before 20 weeks of pregnancy. But since high blood pressure usually has no symptoms, it may be difficult to determine when it is started.

Chronic hypertension with pre-eclampsia super-imposed

This condition occurs in women with high blood pressure, chronic before pregnancy who then develop worsening pressure and protein in the urine or other complications of health during pregnancy.

Preeclampsia

sometimes high blood pressure or chronic hypertension in pregnancy leads to pre-eclampsia, a complication of pregnancy characterized by high blood pressure and signs of damage to another organ system. – normally after 20 weeks of pregnancy. If left untreated, preeclampsia can; lead to serious,even serious complications for the mother or the child. Earlier èwas diagnosed only if a pregnant woman had high blood pressure and protein in the urine. However, the experts today know that it is possible to have preeclampsia without presenting protein in the urine

Risks

Perché the blood pressure is a problem during pregnancy? The high pressure, carries some risks, including:

Reduction of blood flow to the placenta

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If the placenta does not receive enough blood, the baby may receive less oxygen and less nutrients.This può bring to a slow growth, low weight at the time of the birth, or premature birth. Premature birth can; lead to breathing problems for the baby.

Distacco della placenta

preeclampsia increases the risk of placental abruption, where the placenta separates from the inner wall of the uterus before the birth of the child. A serious detachment può cause heavy bleeding and damage to the placenta, thereò può be for you and for the child in a grave danger.

Parto prematuro

sometimes a premature birth is necessary to prevent complications are life-threatening.

Future cardiovascular disease

The preeeclampsia increases the risk of future diseases of the heart and blood vessels. The risk is greater in the case of pre-eclampsia was più times, or in the case of premature birth. To minimize this risk, after delivery try to maintain your ideal weight, eating variety; fruit and vegetables, exercise regularly and not smoke.

What do I know of preeclampsia?

preeclampsia sometimes develops without any symptoms. High blood pressure può develop lentamene but the più sometimes it has a sudden onset. The pressure monitoring is an important part of prenatal care becauseé the first sign of preeclampsia is commonly the increase of the pressure. The pressure of 140/90 millimeters of mercury (mm Hg) or più high – documented on two occasions at least four hours – è abnormal.

Other signs and symptoms of preeclampsia can include:

    the

  • excess protein in the urine (proteinuria) or signs of these kidney problems;
  • the

  • severe headache
  • the

  • alteration of the vision, including temporary loss of vision, blurred vision, sensitivityà the light;
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  • upper abdominal pain, usually under the ribs on the right side;
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  • nausea and / or vomiting;
  • the

  • decreased urine output;
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  • decreased levels of blood platelets (thrombocytopenia);
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  • liver failure
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  • shortness of breath caused by fluid in the lungs;
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  • sudden weight gain and swelling (edema), especially in the face and the hands – often accompanied by preeclampsia. but these things also occur in many normal pregnancies, so they are not considered signs reliable of preeclampsia.
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Farmaci

is it safe to take the medication for the blood pressure during pregnancy?

Any the medication is taken during pregnancy può affect the baby. Even though some medications used for lowering the pressure are considered safe, others, such as ACE inhibitors, inhibitors, angiotensin receptor blockers (ARBS) and inhibitors of renin, are generally avoided during pregnancy.

The treatment is still important. The risk of heart attack, stroke, and other problems associated with high blood pressure do not go away during the pregnancy. And the high-pressure può be dangerous.

If you need medicines to control your blood pressure during the pregnancy, the doctor will prescriverà la cura più safe and the dose of the più appropriate. Take the medication exactly as prescribed. Do not stop taking the medication né change the dose yourself.

What to do

What should I do to prepare for pregnancy?

In the case of high pressure, you should schedule an appointment with whoever is managing your pregnancy. Is positive also meet with the other members of the team of health care like the family doctor or cardiologist. They will evaluate how well you’re managing your high pressure, and will consider any changes to the treatment that you might need before pregnancy. If you are overweight your doctor may recommend losing excess weight before conceiving.

What can I expect during prenatal visits?

During pregnancy, you will often see the health of your pregnancy. The weight and blood pressure will be checked at each visit and may need to perform blood tests and urinalysis.

The medical controllerà carefully the health of your baby. could be frequently used tests and ultrasound to monitor the growth and development. The fetal heart rate monitoring, può be used to assess the well-being of the child. Your doctor may also recommend the control of the daily movements of your baby.

What can I do to reduce the risk of complication?

Take care of yourself is the best way to take care of your child. for example:

  • go to all appointments, and prenatal. Visit the doctor regularly for the entire duration of the pregnancy.
  • the

  • to take the pressure medications as prescribed. The doctor prescriverà the drug più safe and the dose of the più appropriate.
  • the

  • stay active. Follow the doctor’s recommendations with regard to the activitiesà physics.
  • the

  • follow a healthy diet. Choose foods with low sodium content.
  • the

  • to learn about usò that you don’t have to do. the Avoid smoking, alcohol and illicit drugs. Talk with your doctor before taking any medication.
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researchers continue to study ways to prevent preeclampsia, but so far there have been no clear strategies. If you have had preeclampsia in a previous pregnancy that resulted in birth at 34 weeks gestation or you had preeclampsia in more than one previous pregnancy, your doctor may recommend an aspirin a low-dose daily – between 60 and 81 milligrams – starting at the end of the third quarter.

What about the labor and childbirth?

your doctor might suggest induce labor a couple of days before the expiry date to avoid complications. If you develop pre-eclampsia or other complications, induction may also be necessary before. If it is preeclampsia severe you may be given medication during labor to help prevent the crisis. In some cases it may be necessary to a caesarean section.

Sarò able to breastfeed my son?

breastfeeding is encouraged for most women who have high blood pressure, also those who take the drugs. Discuss any adjustments to the dose of the medication that you need with your doctor. Sometimes it is recommended an alternative medication for blood pressure. Your doctor may also recommend that you avoid breastfeeding only in the moments immediately following the taking of the medication.

IN ARGOMENTO:

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Fonte: Mayo Foundation for Medical Education and Research

1 aprile 2015