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Dr. Vandana Rastogi

Gynaecologist, New Delhi

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Dr. Vandana Rastogi Gynaecologist, New Delhi
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
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Dr. Vandana Rastogi is one of the best Gynaecologists in Alaknanda, Delhi. You can consult Dr. Vandana Rastogi at Dr Vandana Rastogi's Clinic in Alaknanda, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Vandana Rastogi on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 35 years of experience on Lybrate.com. Find the best Gynaecologists online in Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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261, Aravali apartment, AlaknandaNew Delhi Get Directions
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Hypertension In Pregnancy

MBBS, PGDCC
Cardiologist, Delhi
Hypertension In Pregnancy

High blood pressure, or hypertension, is defined as blood pressure higher than 140/90 mm hg. Hypertensive disorders in pregnancy are a major cause of maternal, fetal and neonatal morbidity and mortality, both in developing and developed countries. Hypertension is the most common medical problem in pregnancy.
If high blood pressure continues after 20 weeks of pregnancy, preeclampsia and other complications can develop.

What causes high blood pressure during pregnancy?
According to the national heart, lung, and blood institute (nhlbi), there are several possible causes of high blood pressure during pregnancy.
These include:
- being overweight or obese
- failing to stay active
- smoking
- drinking alcohol
- first-time pregnancy
- a family history of pregnancy-related hypertension
- carrying more than one child
- assistive technology (such as ivf)
- maternal age is also a factor, with pregnant women over the age of 40 being more at risk.

BP measurement:
# use a sitting or semi-reclining position so that the arm to be used is at the level of the heart.
# do not take the bp in the upper arm with the woman on her side, as this will give falsely lower readings.

What are the complications of high blood pressure during pregnancy?
- if high blood pressure continues after 20 weeks of pregnancy, there can be complications. Preeclampsia can develop.

What is preeclampsia?

This condition can cause serious damage to your organs, including your brain and kidneys. Preeclampsia is also known as toxemia or pregnancy-induced hypertension. Preeclampsia with seizures becomes eclampsia. This can be fatal.

Thorough prenatal care, including regular doctor’s visits, should be able to address preeclampsia symptoms. Symptoms include:

@protein in a urine sample
Abnormal swelling in hands and feet
@persistent headaches

Preventing high blood pressure during pregnancy:
Common risk factors for high blood pressure, such as obesity and a history of high blood pressure, can be minimized through diet and exercise. Of course, during pregnancy, it is inevitable that you will gain some weight. It’s recommended that pregnant women consult with their doctor to identify a weight gain target that is healthy for them.

Dietary guidelines for pregnant women vary from person to person. Speak with a nutritionist who will keep your specific height and weight in mind when creating a nutrition plan for you.

The nhlbi emphasizes that it’s important to take steps to lessen your risk of high blood pressure. You should steer clear of smoking and drinking alcohol, both of which have been known to raise blood pressure.

Pregnancy causes hormone shifts, as well as psychological and physical changes. This can bring on stress, which can make high blood pressure harder to manage. Try stress reduction techniques such as yoga and meditation.

 

Management:
Management depends on the woman's bp, gestational age and blood flow in the placenta. Non-pharmacological management is recommended for many women but is not recommended when there is the presence of associated maternal and fetal risk factors. Non-pharmacological management includes close supervision, limitation of activities, and some bed rest in the left lateral position.

All pregnant women should receive antenatal education so that they are aware of the symptoms associated with pre-eclampsia, its importance, and the need to obtain medical advice.


Such symptoms include:
Severe headache.
Visual problems: blurred vision or flashing before the eyes.
Severe epigastric pain.
Vomiting.
Sudden swelling of the face, hands or feet.
 

Women who are at high risk of pre-eclampsia are recommended to take 75 mg aspirin daily from 12 weeks of gestation to delivery. Such women are those with:

- hypertension or pre-eclampsia/eclampsia in a past pregnancy.
- chronic kidney disease.
- autoimmune disease (eg, systemic lupus erythematosus (sle) or antiphospholipid syndrome).
- diabetes mellitus (both type 1 or 2).
- chronic hypertension.


Women should also take 75 mg aspirin daily from the 12th week if they have any two of the following features:- in their first pregnancy.
- aged ≥40 years.
- previous pregnancy >10 years ago.
- body mass index (bmi) of ≥35 kg/m2 at booking.
- family history of pre-eclampsia.
- multiple pregnancy.

Medication for high blood pressure during pregnancy:
Some traditional blood pressure medications can cause problems in pregnant women should be avoided when you are pregnant:

-ace inhibitors
-renin inhibitors
-angiotensin receptor blockers
These drugs in particular will be passed through the bloodstream to the developing baby. They can negatively impact the baby’s health. These medications may also cause blood to thin, which can compromise the mother’s ability to carry the baby to term.

Methyldopa and labetalol are both drugs that have been deemed safe for use to manage blood pressure during pregnancy.

Talk to your doctor about how to control your blood pressure if you develop hypertension during pregnancy.

Summary:
High blood pressure during pregnancy doesn’t usually lead to serious problems. However, if it goes untreated, hypertension can become life-threatening for both mother and baby.

6 people found this helpful

Its been a month that my periods are in due. I am worried about that. What are the foods that I should avoid for not having periods and can you suggest me some natural remedies for getting periods that really working out.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Its been a month that my periods are in due. I am worried about that. What are the foods that I should avoid for not ...
I don't think home remedies can do that... Still you may try papaya, and other things... It is better to get proper treatment.. preferably Homoeopathic to avoid side effects..
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I got married 2 yeas ago. Since I have not conceived I am having stomach pain and also white bleeding. Actually my previous periods is on 28th August. Is there any possibility or symptoms to me. If I am pregnant.

Diploma in Anesthesia, MBBS
General Physician, Hyderabad
I got married 2 yeas ago. Since I have not conceived I am having stomach pain and also white bleeding. Actually my pr...
The description given does not give any indication of pregnancy. stomach pain and white discharge does not indicate pregnancy and are due to different reason. as your last period was on 28th August, pregnancy can be known only after 15th of October. then you can get urine tested for pregenancy for confirmation. Meanwhile if you can come back with more information regarding your stomach pain like when the pain occurs, type of pain, location of the pain and association with food, motion etc., proper guidance can be given. good luck
1 person found this helpful
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My sister's delivery has done in november 22 now child is 8 month old. My question is my sister didn't got periods till now why this happening is there any problem?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
About 70% women do not have periods if they are breast feeding after delivery. However if she has had unprotected sex she still needs to do a pregnancy test to exclude pregnancy.
2 people found this helpful
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I am having sex with my girlfriend for 6 or 7 times and her age is 17 but after 7th time she has swelling in her abdomen I'll give her I pill when i am having sex with her please help me what can I do for swelling.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Swelling in her abdomen is likely to be because of fat deposition, which is occurring because one she is probably overweight and two hormonal changes bcos of too frequent ipill. If it is associated with urine complaints then it could be urine infection also. If you had sex with her long time back (5-6) then you should rule out pregnancy.
1 person found this helpful
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Sir/Madam I am 44 of age. I have one baby of 11 years. Can I try for second baby as my husband complete me for second child .His age is 47 years. Our sex life is ok. My periods are normal. Please suggest.

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Sir/Madam
I am 44 of age. I have one baby of 11 years. Can I try for second baby as my husband complete me for second...
Hello Lybrate user, yes you can try for next pregnancy. If,your menses cycle is normal then should try during ovulation periods which is from 11th to 18th day of your menses. If,you had tubectomy operation done then go for ivf procedure.
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I am a 41 yr old female having hot flushes on my face very often before and after my periods are over. Its giving me sleepless nights. My periods are also limited to 2 days with normal flow. Please help.

BHMS
Homeopath, Faridabad
I am a 41 yr old female having hot flushes on my face very often before and after my periods are over. Its giving me ...
Hello. Kindly provide me with all the information, symptoms, associated complaints in details to select an appropriate homoeopathic medicine without any side-effects.
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