Pregnancy in Hypertension Treatment

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Dr. Divya Kumar

PREGNANCY IN HYPERTENSION

Pregnancy Hypertension, often referred to as high blood pressure during pregnancy, is a condition that demands special attention and care, especially for expecting mothers in Faridabad. The impact of high blood pressure on both the mother and the developing fetus can be significant. This is why early diagnosis and effective control are imperative to prevent complications. It's worth noting that the threshold for the initiation of antihypertensive medications may vary depending on whether the hypertension is gestational or chronic during pregnancy, with a lower threshold for gestational hypertension.

One of the severe forms of gestational hypertension is Pre-eclampsia/eclampsia syndrome, which can only be resolved through the delivery of the fetus. The management of hypertension during pregnancy presents a unique challenge, necessitating close collaboration between obstetricians and cardiologists.

Hypertensive disorders in pregnancy (HDP) can be categorized as mild HTN, with systolic blood pressure ranging from 140 to 159 mmHg and/or diastolic blood pressure between 90 and 109 mmHg, or severe HTN, where blood pressure exceeds ≥160/110 mmHg.

These hypertension disorders can manifest in various ways, either with a diagnosis of high blood pressure before pregnancy, during the early stages of pregnancy (prior to 20 weeks of gestation), or it may persist beyond six weeks post-partum.

Gestational hypertension, on the other hand, is characterized by high blood pressure first being diagnosed during pregnancy, typically after 20 weeks of gestation. Fortunately, it often resolves within six weeks after childbirth. It's important to note that gestational hypertension is considered a form of secondary hypertension.

For some expecting mothers, a situation may arise where pre-existing hypertension is further complicated by the development of gestational hypertension with proteinuria. Additionally, there is a category known as Pre-eclampsia, a condition that typically arises during pregnancy and demands close monitoring.

In some cases, hypertension may be challenging to classify during pregnancy, especially if it is first diagnosed after 20 weeks of gestation. In such instances, reassessment six weeks post-partum can help distinguish between pre-existing hypertension and gestational hypertension.

In Faridabad, having access to experienced doctors who specialize in pregnancy hypertension is crucial. Early detection, appropriate treatment, and careful management are the keys to ensuring a healthy pregnancy for both the mother and the developing fetus. If you're experiencing pregnancy hypertension in Faridabad, consult with healthcare professionals who can provide you with the necessary guidance and support.

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Complications

The foetus is at high risk of intrauterine growth retardation,prematurity , and intrauterine death

The long-term risks of HDP and pre-eclampsia include a fourfold higher risk of chronic HTN and a twofold higher risk of stroke and ischaemic heart diseases.

Women who develop severe hypertension have higher rates of adverse maternal and perinatal outcomes.

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