Hypertension or high blood pressure is common in pregnant women, even in those who have no previous history of high blood pressure. This leads to complications in about 6 to 10% of all pregnancies around the world. High blood pressure may develop before or after conception and as such needs special medical attention.

Hypertension prevents sufficient flow of blood to the placenta and this inhibits the normal growth of the fetus. This could result in low birth weight of the child. However, if diagnosed in time and treated properly, hypertension does not affect the child's health too much. There are various types of hypertension during pregnancies, such as:

Gestational hypertension: This type of hypertension is developed about 20 weeks after conception. There is no abnormality in urine or any signs of other organ damage (as is common with hypertension during pregnancy) but the condition can worsen and complicate very quickly. Pregnant women below the age of 20 and above the age of 40 are often diagnosed with high levels of blood pressure. Women who have heart or kidney conditions before pregnancy and women carrying more than one child are also likely to develop gestational hypertension.
Chronic hypertension: Chronic hypertension is high blood pressure which develops around 20 weeks before conception and does not normalize within 12 weeks after childbirth. The patient may also have been suffering from high blood pressure for a long time but the complications appear only during pregnancy because high blood pressure rarely exhibits symptoms without an associated condition.
Chronic hypertension superimposed with Preeclampsia: Women who have hypertension before pregnancy may develop even higher blood pressure levels during pregnancy. This leads to several health disorders like frequent headaches, fatigue and depression.
Preeclampsia: Preeclampsia is often a serious complication of gestational pregnancy and affects about 5% to 7% of all pregnancies globally. Gestational pregnancy does not always develop into preeclampsia but it needs to be diagnosed and treated in time to avoid the complication. Women who have conceived for the first time or have a history of hypertension in the family are at a greater risk of preeclampsia. The symptoms of the condition are throbbing headaches, blurred vision, nausea and vomiting, pain in the upper abdominal region and shortness of breath.

Types Of Hypertensions Experienced During Pregnancy

Take care of these 25 things before conceiving

Just a news of expecting a baby brings cheer and excitement in a couple’s life. However, being prepared for it helps you become healthy and bring in a healthy baby too. 

Here are few things that one must take care of before and while conceiving.

1. Use Ovulation calculator to decide the best time for pregnancy.
2. Stop taking contraceptives.
3. Preconception health care is necessary to avoid miscarriage, stillbirth or premature birth
4. Keep yourself mentally ready and healthy for delivery.
5. Be aware of your body i.e. how healthy and fit you are.
6. Have medical checkups before getting pregnant.
7. If your weight is on the higher side, lose weight before getting pregnant as being overweight brings complications.
8. Fathers should also avoid smoking and drinking for better sperm quality.
9. Intake of regular folic acid.
10. Regular Exercise.
11. Stay away from Infections.
12. Consult dentist as hormonal shifts can cause gum diseases which are harmful for baby.
13. Eat lot of fish for child’s development but avoid fish that has mercury.
14. Completely avoid smoking, drinking and caffeine yourself.
15. Avoid passive smoking too.
16. Avoid soda and fruit juice as they may raise sugar levels.
17. Sleep as much as you can.
18. Take adequate amount of iodine in your diet.
19. Take up-to-date vaccinations.
20. Ensure balanced diet in consultation with dietician.
21. Keep yourself away from stress.
22. Take lot of carbohydrates, milk and milk products, fats and proteins and fresh fruits and vegetables and avoid taking uncooked or undercooked food.
23. Have a healthy working environment and avoid getting exposed to chemicals like lead and mercury and radioactive substances like X-Rays.
24. Do not take any medicine for headache, pain etc. without consulting your doctor.
25. Keep a check on your blood pressure.




A Checklist of Must Do’s Before You Try to Conceive 

Do you know that the future health of your baby is decided  before you even conceive? Your preconception health is very important. Planning a baby is a demanding task, but if you plan it well you will have a healthier and easier pregnancy. 

These are a few tips which can do wonders

1. Relaxation at Work and Household Backup - Plan out your work schedule. You might need to change your work hours or may be change the job profile. You will also need someone to help you out with the household chores around this time.

2. Finances - Get your finances settled and insurance plan changed accordingly.

3. Lifestyle Modification - Eat healthy. Stop the intake of alcohol and stop smoking. Set aside a time for regular exercise if possible. Try to lose that extra flab and stay very active.

4. Reduce Stress - Create a support system for yourself. Engage in activities that uplift your mood.

5. Take Folic Acid -Take 400 mcg of folic acid tablet daily. It helps prevent birth defects of brain and spine in the baby.

6. Avoid Exposure to - Harmful chemicals, metals and toxic substances at workplace and home. Protect yourself from infections. Stay away from cats.

7. Up-to-Date Vaccination - Make sure your vaccination is complete. Vaccination against rubella and flu are very important. It is also important to maintain a gap of at least one month between your rubella shot and pregnancy planning.

8. Optimize your Medical Condition - If you have Hypertension, Diabetes, Asthma, Epilepsy or any other medical condition you must take complete advice from the physician. Blood pressure and sugar levels have to be under full control. The type and dose of the drug may need modifications.

9. Check Family History - Ask your parents, grandparents, brothers, sisters, aunts and cousins about any health problems in the family like genetic problems, mental retardation or malformations in babies. This can help your Gynaecologist to determine which problems to look for and how to prevent it. 

10. Visit your Doctor - Carry a record of your medical conditions, family history and a checklist of your queries. Get tested for Li Blood Group, Thalassemia, HIV, Thyroid Levels, and Blood Sugars.



Why Your Baby's Health is Decided Much Before You Even Conceive

Reasons for spotting during pregnancy and what you can do about it

Seeing spots of blood during pregnancy is usually a cause for concern. However, it is not uncommon. The light bleeding, which is known as spotting may occur for a number of reasons.

Bleeding during the first trimester

Spotting is most likely to happen during early pregnancy and the reasons could be many, such as:

- implantation bleeding occurs during the first month of pregnancy when the fertilised egg gets attached to the wall of the uterus.

- cervical polyps ( a tumour that form on the surface of the cervix) or yeast infection may also cause episodes of spotting.

- miscarriage may be another possible reason for spotting

- ectopic pregnancy is another cause. It is the condition in which the embryo plants itself in either of the fallopian tubes instead of the uterus.

- molar pregnancy is a rare condition associated with spotting during pregnancy. When this is the case, instead of your baby, an abnormal tissue grows inside the uterus. Sometimes it can be cancerous too.

Bleeding during the second or third trimesters

Spotting may also occur during late pregnancy and the possible reasons are listed below.

- problems related to placenta like placenta previa placental abruption can also result in spotting. These are serious conditions when the placenta either covers the cervix or it gets detached from the uterine wall respectively.

- uterine rupture is the rare and unfortunate event when a scar from a previous surgery (like the removal of fibroid or previous caesarean scar bursts open and the baby slips into the pregnant woman's abdomen.

- premature labour occurs when your body is too eager to deliver the baby, usually one month before the due date of delivery.

- vasa Previa is another rare condition when a baby who is still developing has his blood vessels entangled in the umbilical cord or placenta-crossing the cervix. It is extremely dangerous because the blood vessels may burst open thus causing the baby to bleed and lose oxygen.

Here's what you can do about spotting

It is strongly recommended that you should immediately see your doctor as soon as you detect any spotting during your pregnancy. Only a well-qualified medical expert can suggest the appropriate steps to be taken, depending on your individual reasons and symptoms related to spotting.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 6 Changes You Can Expect During the 2nd Trimester of Pregnancy

Reasons for Spotting During Pregnancy

After those nine months, the long waiting period gets over and the most exciting transition from a mommy-to-be, to a mommy finally begins. But then, things are not always as smooth as we expect, especially if you undergo a C-section to deliver your baby. It is indeed an overwhelming experience to hold your little one in your arms but you need to understand that a C-section surgery is a major abdominal surgery and you need to take precautions to recover from the surgery. The recovery period for the C-section delivery is much higher than the recovery period for the normal delivery.

Let us look at some ways for speedy recovery from C-section delivery:

Relax: Taking proper rest will give your body the energy to recover from the surgery that you had undergone. Healing of the scar takes time and your post-partum body requires rest. But, taking proper rest is not as easy as it sounds when you have a new born baby to take care of, who needs a lot of attention and care. From feeding your baby at regular intervals to changing their nappies/diapers and making them sleep, all of it requires you to be on your toes. Make sure you always take some time out to rest and do not hesitate to take help from your spouse and family.
Don t put strain your body: Your body has just given birth to a baby and has undergone a major surgery; therefore, it is important that you give it time to heal. You should try not to get up too often, do not lift anything heavier than your baby, avoid sex until six weeks from the birth of your baby, hold your abdomen when you have to sneeze or cough to protect the incision site. Don t start working out without your doctors  green signal and don t drive and take stairs, which might put a strain on your body.
Take a good diet: Take plenty of healthy and nutritious food as your body still requires such a diet. Breastfeeding mothers need to understand that the sole source of nutrition for your baby is you. Include different vegetables and variety of healthy food to pass on nutrition to your little one. Take plenty of fluids, especially water as the fluid intake is necessary to increase breast milk supply. Including fibre rich diet will keep you away from issues, such as constipation, which is one of the most common issues that women face after having a baby.
Medicines: Your doctor may prescribe you the medicines that you can take to reduce the pain and recover faster. The medicines prescribed would vary if you are breastfeeding and if you are not breastfeeding your baby, so taking up such issues become even more important for you and your baby.
Take care of the Incision: Take proper care of the incision by keeping the wound clean and undisturbed for a faster recovery.
Don t compare your recovery to someone else s because the speed of recovery depends from person to person. Motherhood is an exciting phase of your life, so take care of yourself to have a speedy recovery and enjoy every moment of it.  Make memories and stay happy!

Had a C-Section - 5 Tips to Help You Recover from it

Natural child birth is a process of giving birth to a child with no or little medical interference. In spite of the severe labor pain, many women decide to go for natural child birth because they find the experience beneficial. One of the best advantages that you can expect from a natural child birth is being in full control of your body.

Utmost care: From the time you conceive until your delivery, hospitals are expected to take the best care of both the mother and the child. At the best child care hospitals, paediatrics should be able to put themselves in your place and aspire to take care of your child. Reliable child care hospitals should have the ability to ensure smooth and safe delivery of the child.
Expertise: Child care hospitals must provide best paediatric services. Paediatrics deal with child care and that requires a high level of expertise. A child's health and well-being should be of paramount importance for any best child care hospital. The team of doctors should possess wide - ranging knowledge because they have been entrusted with the responsibility of taking care of your child's health. Besides these the hospital's team should include trained nurses; highly qualified and experienced medical workers.
Work Dedicatedly: Doctors from the best child care hospitals should be able to listen to you carefully and should attend to your child. They must be able to assist you with the queries related to your child's development. The child care services should be able to take care of the child from birth and assist them throughout their developing years.
Best child care hospitals should also provide reasonable treatment offers with the use of the latest, state-of-the-art technology.

Natural Childbirth - What to Expect From Best Child Care Hospitals?

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