Pregnancy hypertension

Pregnancy hypertension's disease overview

Blood pressure is the pressure of blood flow on the wall. Blood pressure consists of two numbers (eg 140/80mmHg, 130/90mmHg). The higher number is called systolic blood pressure (maximum blood pressure), lower than diastolic blood pressure (minimum blood pressure). According to the current recommendation of the European Cardiovascular Association and the Vietnam Cardiology Association, called hypertension when systolic blood pressure ≥140mmHg and/or diastolic blood pressure ≥ 90mmHg (American cardiovascular association considers blood pressure ≥130 /80mmHg is hypertension). That is, normal blood pressure must be less than 140/90mmhg.

What is

What is pregnancy hypertension?

Hypertension of pregnancy is a hypertension that appears after the 20th week of pregnancy and returns to normal 6 weeks after birth. Mild fetus hypertension when blood pressure is from 140-159/90-109mmHg, severity when blood pressure ≥160/100mmhg

The following concepts need to be distinguished from pregnancy hypertension:

  • Hypertension detected before: Hypertension is available before the 20th week of pregnancy, lasting more than 6 weeks after birth
  • Hypertension detected in advance, energy up when pregnant with proteinuria

    • Pre -eclampsia: pregnancy hypertension with proteinuria (> 0.3g/24h). Therefore, if the signal of pregnancy hypertension (after week 20) ​​is accompanied by protein in the urine, it is necessary to diagnose the pre -eclampsia

    Pregnancy hypertension can affect both mother and fetus. For the mother, it can cause peeling vegetables, stroke, multi -organ failure, scattered coagulation disorders. For the fetus, it can cause growth in the uterus, premature birth, and pregnancy.

    Causes of Pregnancy hypertension's disease

    Causes of pregnancy hypertension is very complicated with the contribution of many factors and is still being studied

    Symptoms of Pregnancy hypertension's disease

    Often pregnancy hypertension alone does not have many symptoms, most of them accidentally discovered. Patients often have symptoms in the case of pre -eclampsia:

  • Prolonged, severe headaches
  • Visuality disorders (double view, blurred vision, loss of vision ...)
  • East area
  • Change of consciousness
  • Difficulty breathing, chest pain after sternum

    • When these symptoms are relatively severe, emergency treatment, may need to end the pregnancy.

    People at risk for Pregnancy hypertension's disease

  • Pre -eclampsia in the previous pregnancy
  • age> 40 or <18
  • Chronic hypertension

    • Chronic kidney disease

  • Systemic diseases (systemic erythematosus, phospholipid syndrome)

    • Diabetes

    obesity

    Pregnant with artificial insemination

  • multiple pregnancy

    • Prevention of Pregnancy hypertension's disease

  • Stabilizer, giving birth at advanced age
  • Losing weight before pregnancy (if overweight)
  • Healthy diet: lots of green vegetables, fruits, low animal fat, instead of vegetable oil to reduce the risk of gestational diabetes
  • Exercise regularly before pregnancy. During pregnancy, it is also necessary to exercise appropriately depending on the stage. If the patient is diagnosed with pre -eclampsia, gently exercise depending on the patient's condition. Not recommended in bed for a long time

    • Good glycemic control before and during pregnancy if you have diabetes or gestational diabetes

    Diagnostic measures for Pregnancy hypertension's disease

  • Measure blood pressure properly to diagnose pregnancy hypertension
  • Need to do tests: Total urine analysis, urine 24h to find proteinuria, pre -eclampsia diagnosis

    • Periodic pregnancy ultrasound to evaluate the development of the fetus

  • Testing for liver, kidney, blood sugar function ... assessing damage to organs if the pre -eclampsia

    • Pregnancy hypertension's disease treatments

    How to treat pregnancy hypertension like?

  • It is necessary to treat pregnancy hypertension when blood pressure ≥ 140/90mmhg
  • When systolic blood pressure ≥ 170mmHg, diastolic blood pressure ≥110mmHg needs to be hospitalized for emergency
  • Priority drugs used: Methyldopa, Labetalol, Calcium channel blockers (Nifedipin ..)
  • Contraindicated use of enzyme inhibitors, receptor inhibitors because it can cause fetal defects
  • Patients with pregnancy hypertension or mild eclipse, recommendation of pregnancy termination at week 37

    • Disclaimer

    Every effort has been made to ensure that the information provided by Drugslib.com is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Drugslib.com information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Drugslib.com does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Drugslib.com's drug information does not endorse drugs, diagnose patients or recommend therapy. Drugslib.com's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners.

    The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Drugslib.com does not assume any responsibility for any aspect of healthcare administered with the aid of information Drugslib.com provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

    Popular Keywords