what's blood stress, blood pressure is the strain inside the blood vessels in your frame. it's miles the force with which the blood movements thru the blood vessels. medical doctors and nurses measure blood pressure by putting a cuff around your upper arm. then they concentrate to your blood flow with a stethoscope. high blood stress (also referred to as hypertension) happens while your blood actions thru your blood vessels at a better stress than normal.
what are the one-of-a-kind sorts of high blood pressure during pregnancy?
there are three styles of high blood pressure in pregnant ladies:
continual high blood pressure: high blood strain that develops before the 20 th week of being pregnant or is gift earlier than the female turns into pregnant. every so often a girl has high blood stress for a long time before she receives pregnant, but she doesn’t understand it till her first prenatal take a look at-up.
gestational hypertension: some girls simply get excessive blood strain close to the stop of pregnancy. they don’t have another related signs and symptoms.
being pregnant-precipitated high blood pressure (pih), also referred to as toxemia or preeclampsia: this circumstance can reason severe troubles for both the mom and the baby if left untreated. pih develops after the 20 th weeks of being pregnant. along side high blood stress, it causes protein within the urine, blood adjustments and other troubles.
what are the dangers of pih to the toddler and me?
pih can prevent the placenta (which gives oxygen and food in your toddler) from getting sufficient blood. if the placenta doesn’t get sufficient blood, your toddler receives less oxygen and meals. this could reason low birth weight and other problems for the child.
maximum girls who have pih nevertheless deliver wholesome infants. some broaden a situation known as eclampsia (pih with seizures), which is very extreme for the mother and baby, or other severe issues. happily, pih is usually detected early in women who get regular prenatal care, and maximum problems may be prevented.
what are the signs of pih?
if you have any of the subsequent signs of pih, name your medical doctor right away:
excessive swelling of the toes and hands
smaller quantities of urine or no urine
blood on your urine
ringing or humming sound in ears
ache in the stomach (tummy)
does high blood stress suggest i've pih?
no longer necessarily. if your physician sees that your blood stress is high, he or she will be able to watch you carefully for modifications that would suggest you've got pih. further to high blood strain, ladies who have pih additionally have excessive swelling. they will also have protein in their urine. many women who've excessive blood pressure for the duration of pregnancy don’t have protein of their urine or intense swelling, and don’t get pih.
does swelling suggest i've pih?
swelling by myself doesn’t necessarily mean you have got pih. some swelling is everyday at some point of pregnancy. for instance, your jewelry or footwear might come to be too tight. swelling is more severe if it doesn’t leave after resting, if it’s very obvious to your face and fingers or if it’s a rapid weight benefit of greater than five kilos in every week.
who's at chance for pih?
pih is greater common at some point of a woman’s first being pregnant and in girls whose moms or sisters had pih. the danger of pih is higher in women sporting a couple of babies, in teenage mothers and in ladies older than forty years of age. different women at chance encompass folks that had high blood strain or kidney disorder before they became pregnant. the reason of pih isn’t regarded.
what assessments can show if i've pih?
no person test diagnoses pih. your blood pressure may be checked during every doctor’s visit. a huge rise for your blood pressure can be an early sign which you would possibly have pih. a urine test can inform if there is protein for your urine. your medical doctor may order sure blood checks, which may additionally display when you have pih. when you have symptoms of pih, your health practitioner might also want to see you as a minimum as soon as a week and possibly every day.
how is excessive blood pressure handled in pregnant girls?
the treatment will rely upon the sort of excessive blood strain:
chronic hypertension: in case you are already taking medicinal drug for excessive blood pressure, your health practitioner can also want you to maintain taking that medication. if that medicinal drug is not secure for the baby, your health practitioner may want you to alternate to some other medicinal drug or to prevent taking medication while you're pregnant. your doctor can pay special attention to how your infant is developing. you may have ultrasound exams greater often. you might have a few other exams close to the give up of your being pregnant to make sure that your infant is healthful. your medical doctor will screen you carefully for symptoms of pih.
gestational high blood pressure: this condition doesn’t need any treatment. however it is able to be difficult to tell this condition from early or mild pih, so your doctor will display you very intently to ensure your high blood pressure does no longer grow to be pih. your physician may let you know to take aspirin or extra calcium to prevent pih. your health practitioner may additionally let you know to lie to your left aspect while you're resting. this could enhance blood glide and take weight off your huge blood vessels.
pih: how your doctor treats this circumstance relies upon on how near you are on your due date and how you and your infant are doing. the best treatment that forestalls pih is to deliver the baby. if your baby is born very early, it is able to have critical fitness problems. but your doctor can also want your toddler to be added early if you or the child are very ill. in case your physician thinks it's miles safe for the pregnancy to retain to complete term, he or she can screen you and your child very carefully until shipping. you will see your physician often and get blood tests. your child can even get a few tests to ensure she or he is healthy. you may want to stay domestic from paintings and relaxation in bed. in a few instances, hospitalization may be necessary.
a note about salt
one way to govern high blood stress while you’re now not pregnant is to reduce the quantity of salt you eat. this isn't always a terrific idea if you have excessive blood pressure at some stage in pregnancy. your body needs salt to preserve up the waft of fluid for your frame, so you want a normal intake of salt. your doctor will inform you how much salt to consume each day and how much water you ought to drink each day.
if my physician comes to a decision to deliver the baby early, will i have to have a cesarean phase?
that is up for your physician and also you. a cesarean segment (an operation to supply the toddler) is much more likely in case your fitness or your baby’s health is in danger. if matters aren’t this critical, your health practitioner may additionally use medicine (including oxytocin) to begin your labor, and you can deliver your child via a vaginal shipping.
what takes place to high blood pressure after shipping?
continual hypertension: your blood pressure will probable stay excessive after you have your infant. you'll should keep taking medicinal drug for high blood pressure, watch your diet and exercising.
gestational hypertension: your blood strain will go again to everyday inside some weeks after you've got your toddler, however you're more likely to broaden chronic high blood stress later in life.
pih: your blood pressure will cross again to ordinary inside a few weeks after you have your child.
why is high blood pressure during pregnancy a problem?
high blood stress at some point of being pregnant can purpose the following problems for you and your infant:
continual hypertension: high blood stress can make your child develop too slowly, or now not get enough vitamins or oxygen. this could harm your baby’s health. ladies who've continual hypertension also are more likely to increase pih, which can be very risky.
gestational high blood pressure: this situation does now not motive any troubles for you or your toddler, but it could boom the chance that you will broaden high blood stress later in lifestyles. gestational high blood pressure also can become pih.
pih: excessive blood stress isn't the principle trouble, but it is one of the important signs of this health situation. pih can reason complications, blurred vision, imaginative and prescient loss, stomach pain and dizziness. it is able to cause slow growth of the child, low birth weight and premature shipping. in case you get pih with seizures (called eclampsia), you and your toddler are liable to death. many docs supply magnesium sulfate to their patients during hard work and for some days afterward to help prevent eclampsia. speak on your medical doctor about these things.