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Are you experiencing high blood pressure or hypertension during pregnancy? Hypertension is a condition in which your blood pressure levels shoot up to a level, which may cause damage to the body. In case of pregnant women, hypertension may inflict damage on both the mother and the growing baby. You require a special care for dealing with hypertension during pregnancy, irrespective of the fact whether it develops before or after conception. Here are some important facts you ought to know about hypertension and pregnancy.
There are different types of high blood pressure issues caused during pregnancy:
- Gestational hypertension: Women with this form of hypertension have high blood pressure, which develops around 20 weeks of pregnancy. There is no sign of organ damage or the presence of protein in urine. Many women with gestational hypertension develop preeclampsia eventually.
- Chronic hypertension: Chronic hypertension is the high blood pressure condition which is present before pregnancyor or it may occur before 20 weeks of pregnancy. It is hard to determine high blood pressure as it does not have prominent symptoms.
- Preeclampsia: This is a pregnancy complication featured by high blood pressure along with signs of damage to other organs of the body. This happens from chronic high blood pressure and gestational hypertension. It usually sets in within 20 weeks of pregnancy. If untreated, preeclampsia can lead to several serious complications to the mother and the baby.
- Chronic hypertension with superimposed preeclampsia: This condition is likely in women with chronic blood pressure being present from before pregnancy. During pregnancy, women with this condition develop worsened high blood pressure and protein content in the urine. Other health complications are also indicated.
Risks of high blood pressure during pregnancy. High pressure during pregnancy is associated with several risks. They are as follows:
- Decreased flow of blood to the placenta: When the placenta does not receive sufficient blood, your baby will be deprived of enough oxygen and nutrients. This might cause slow growth, premature birth or low birth weight in your baby. Prematurity also causes breathing trouble in the baby.
- Placental abruption: Preeclampsia increases the risk of placental abruption, where the placenta gets separated from the inner uterine wall before delivery. Severe cases of placental abruption lead to placenta damageand and heavy bleeding.
- Premature delivery: In some cases, early delivery of the baby has to be carried out for preventing some life threatening conditions.
For reducing the risk of complications caused by hypertension during pregnancy, it is important for you to consult a doctor regularly throughout pregnancy. You should take blood pressure medicines prescribed by a doctor in the most suitable dosage. You should also stay active, follow a healthy low sodium diet and stay away from smoking, alcohol and substance abuse.
This is my mother report x-ray chest pain view Findings: Lungs fields are clear. Both hila appear normal. Mediastinum is normal. Cardiac size is normal. Both domes of diaphragm are normal. CP angles are clear. Soft tissues and bony cage appear normal. Impression: NO SIGNIFICANT ABNORMALITY Can you please say me about the report.Please tell.
What is High Blood Pressure?
High blood pressure or hypertension is a condition caused when the force of the blood against the arterial walls exceeds drastically than what it normally is. A blood pressure reading exceeding 140/90 over a prolonged period of time is considered to be ‘high blood pressure’ or diagnosed as ‘hypertension’.
What is Diabetes?
Diabetes is characterized by extremely high levels of blood glucose (blood sugar) in the body, either due to the insufficient secretion of insulin by the pancreas or reduced sensitivity of the body to insulin. This makes your body unable to break down the sugars. At first glance, these two conditions seem completely unrelated, but, according to certain studies, the two conditions do have similar outcomes and could be inter-dependent.
According to the American Diabetes Association, the combination of hypertension and type 2 diabetes is particularly lethal and can significantly raise a person's risk of having a heart attack or stroke. Having type 2 diabetes and high blood pressure also increases your chances of developing other diabetes-related diseases, such as kidney disease, and retinopathy (eye blood vessels), which may cause blindness. There is substantial overlap between diabetes and hypertension, reflecting substantial overlap in their etiology and disease mechanisms. Genetic structure, Obesity, inflammation, oxidative stress, and insulin resistance are thought to be the common pathways. A prospective cohort study in the United States reported that type 2 diabetes mellitus was almost 2.5 times as likely to develop in subjects with hypertension as in subjects with normal blood pressure.
In the Hong Kong Cardiovascular Risk Factor Prevalence Study, only 42% of people with diabetes had normal blood pressure and only 56% of people with hypertension had normal glucose tolerance. There are many minor lifestyle changes that can lower your blood pressure and blood sugar. A brisk walk for 30 to 40 minutes every day, or any aerobic activity can make your heart healthier. In addition to lowering blood pressure and blood sugar, physical activity can strengthen the heart muscle and may reduce arterial stiffness. You may need minor modifications in your diet like, cutting out sugar salt, high-fat meats etc. You can take several servings of vegetables, low-fat dairy products, leans meats and fish or meat substitutes, fruits, whole (not processed) foods, whole-grain pastas, breads, and brown rice etc. While some people can improve their type 2 diabetes and hypertension with lifestyle changes, most require medication.
Depending on their overall health, some people may need more than one medication to reduce their risk. Consult your doctor to choose best possible medicines for your diabetes and / or blood pressure control.
Blood pressure is the amount of force exerted by the blood against the walls of the arteries. A person's blood pressure is considered high when the readings are greater than 140 mm Hg systolic (the top number in the blood pressure reading) or 90 mm Hg diastolic (the bottom number). In general, high blood pressure, or hypertension, contributes to the development of coronary heart disease, stroke, heart failure and kidney disease.
Causes of High Blood Pressure During Pregnancy
- Being overweight or obese
- Failing to stay active
- Drinking alcohol
- First-time pregnancy
- Teenage pregnancies
- A family history of pregnancy-related hypertension
- Carrying more than one child
- Age (over 40)
- Assistive technology (such as IVF)
What are the effects of high blood pressure in pregnancy?
Although many pregnant women with high blood pressure have healthy babies without serious problems, high blood pressure can be dangerous for both the mother and the fetus. Women with pre-existing, or chronic, high blood pressure are more likely to have certain complications during pregnancy than those with normal blood pressure. However, some women develop high blood pressure while they are pregnant (often called gestational hypertension).
The effects of high blood pressure range from mild to severe. High blood pressure can harm the mother's kidneys and other organs, and it can cause low birth weight and early delivery. In the most serious cases, the mother develops preeclampsia or "toxemia of pregnancy", which can threaten the lives of both the mother and the fetus.
How can women with high blood pressure prevent problems during pregnancy?
If you are thinking about having a baby and you have high blood pressure, talk first to your doctor or nurse. Taking steps to control your blood pressure before and during pregnancy - and getting regular prenatal care - go a long way toward ensuring your well-being and your baby's health.
Before becoming pregnant:
- Be sure your blood pressure is under control. Lifestyle changes such as limiting your salt intake, participating in regular physical activity, and losing weight if you are overweight can be helpful.
- Discuss with your doctor how hypertension might affect you and your baby during pregnancy, and what you can do to prevent or lessen problems.
- If you take medicines for your blood pressure, ask your doctor whether you should change the amount you take or stop taking them during pregnancy. Do not, however, stop or change your medicines unless your doctor tells you to do so.
While you are pregnant:
- Obtain regular prenatal medical care.
- Avoid alcohol and tobacco.
- Talk to your doctor about any over-the-counter medications you are taking or are thinking about taking.
Note: Treatment before and during pregnancy should be a medication which is safe as few antihypertensives are teratogenic.
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