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Treatment of Migraine Treatment
Weight Management Treatment
Removal Of Stitches Procedure
Thyroid Problems Treatment
Dressings Of Wounds Procedure
Hiv Prophylaxis Post Exposure
Viral Fever Treatment
Thyroid Disorder Treatment
Stitching Of Wounds Procedure
Management of Surrogacy
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Patient Review Highlights
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.
- being overweight or obese
- failing to stay active
- 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.
# 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
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 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:
Visual problems: blurred vision or flashing before the eyes.
Severe epigastric pain.
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:
-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.
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.
I am not able to sleep since last 2 days and having a severe headache also tried alot of home remedies but non of them is working out please help me.
I have a pain in right side of my lower abdomen some times it increases I have this problem from last 2 month I suggest from more doctors but I do not have solution please help me.
I have a problem that sometimes I feel choking in my neck, and I feel like I can not breath. I think that is because of tonsil, any thing to completely cure it?
I am suffering with headache with cold, regularly every 3 or 4 months once. Please give me good suggestions.
From last few weeks I am having pain in erection, penile discharge, burning sensation, frequent urge to urinate I am 21 years and sexually active.
Hi I am39 years old diabetic since 8 years on regular treatment on janumet50/500 at morning and janumet50/1000 at night and I am hypertensive also on regular treatment on cardace 2.5but still my sugar levels are high my fasting sugar is 172 mg/dl and post prandial sugar is 245 mg/dl and my HBA1C LEVEL IS 8.2 AND I HAVE MICROALBUMINURIA ALSO PLEASE HELP. NARENDER.
Symptoms and Treatments of Fibroids.
Hello friends! I’m Dr. Usha. M. Kumar. I’m Senior Consultant and Gynae Endoscopic Surgeon at Max Super Speciality Hospital. I want to discuss one very common problem is fibroids. Because when I sit in OPD, I see many patients of fibroids every day and this is a problem which usually happen to 40+ of women but it can happen to the young girls as well and you will be very surprised to know sometimes the fibroids are there in your womb and you don’t even come to know and you are going to the doctor with some other problem and when we advise ultrasound and all of a sudden we see there are the fibroids. It can be totally asymptotic as well but sometimes, in the young girls, if they are having fibroids, they can have the problems.
First of all, I would like to tell you very important thing, if you have fibroids, there is nothing to be scared of. Because fibroids, these are non-fleshy and basically non-cancerous tumour. So, fibroids if you have, it can cause problems in the terms suppose if it is inner line of uterus, this can cause difficulty in conception and if it is in the outer wall and it is very big in size , it can cause some pressure symptoms like you may have only the back ache or might you have to go many times to pass urine so, frequency of urine is more because of pressure of that fibroid and sometimes, if it is in the inner lining of uterus or in the middle layer of uterus, it can cause heavy periods which is a very common problem I’m usually facing and most of the women are facing they come to my OPD so if, the young girls or married young girls say 22-30 , 22-40 if they are having fibroid and they are having problem in the conception, treatment is very simple.
Now, the medical technology has become so much advanced so with the very small equipment , we can take out the fibroids without making any cut in the body, so this we call endoscopic surgery and basically I’m expert of endoscopic surgeries and if this fibroid is big in size and it’s causing heavy periods and it’s more than 3cm, you have taken medicine, nothing is helping you then, the option is , if you want to save your uterus, we can only remove fibroid again with the help of key hole surgery which we also call minimally invasive or laparoscopic surgery. So, it hardly makes , 0.5cm or 1cm of cut, we can take out any size of fibroid.
Only thing we have to use morcellator which can cut down the big size of the fibroid in the small pieces and I mean it’s a very wonderful surgery and people are surprised to know up to 8cm or 10 cm of fibroid can be removed with laparoscopic surgery. I would like to give you very important tip, fibroids, most of the time, they are genetically inherited and if your sister has got fibroid, or your mother has got fibroid then, you have little higher possibilities to have fibroid but, of course, the most important thing for all girls, all women, is taking balanced diet, taking more and more antioxidants in your food and do lots of exercise. This can prevent many of the problems in women and if you really happen to have such problem, you can contact me in Max Smart Super Speciality Hospital.
I’m sitting here every day or you can come to my clinic that’s Progeny in Dayanand Colony Lajpat Nagar 4. You can call me, you can check me and you can send your problems through Lybrate and then, you can send your queries. I can answer your queries or, otherwise, you can fix up an appointment with me in these two places. Thank You!