Hypertension in pregnancy

Hypertension in pregnancy

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Although high blood pressure during pregnancy is a widely studied topic, some questions still remain unanswered. It is the most common medical risk factor. Five types of hypertensive diseases have been described.

1- Pregnancy-induced gestational hypertension
2- Preeclampsia
3- Eclampsia
4- Preeclampsia on chronic hypertension
5- Chronic hypertension

To be called hypertension, blood pressure must be above 14/9. However, in a pregnant woman whose blood pressure was around 10/6, an increase of 3 for big blood pressure and 1.5 for small ones should be considered as high blood pressure.

1- Pregnancy-induced hypertension

In this group, the mother's blood pressure is high. However, protein leakage is not seen in urine. Not only are the blood pressure elevated, the mother and baby are also threatened.

2- Preeclampsia

This is unique to pregnancy. It can be very serious. In addition to high blood pressure, there is a significant amount of protein leakage in the urine. The mother's urine is collected for 24 hours and the amount of protein is checked. If the protein is 2 g or more, the condition is worrying. There may be an excessive weight gain in the mothers, especially severe edema in the legs. Headache, blurred vision and pain in the stomach of the patient with preeclampsia are the conditions that should be alerted. Preeclampsia is a condition that can cause all organs to go bankrupt due to its mechanism of occurrence. The candidate's kidney, liver functions may deteriorate and blood condition may deteriorate. In the meantime, the baby may be in great danger.

3- Eclampsia

If preeclampsia becomes severe, unconscious contractions are seen in the brain, which is the most frightening picture that resembles epileptic seizures due to edema and bleeding.

4- Preeclampsia on chronic hypertension

The tables that may occur here are no different from those described above. The only difference is that the mother has a high blood pressure before pregnancy.
Preeclampsia is usually more common in the first pregnancy and in young people. In addition, cases with pre-eclampsia and previous hypertension are older. Those with multiple pregnancies, overweight and family history are more prone to this situation.

None of the measures such as reduced salt diet, aspirin, and antioxidant to the expectant mother in order to prevent the disease has been really beneficial.
In case of persistent and worsening hypertension and / or severe protein leakage in the urine, maternal hospital follow-up should be followed by hospitalization, treatment and daily monitoring of the baby. Magnesium treatment is used to prevent convulsions. In addition, blood pressure lowering drugs are given. Pregnancy may need to be terminated early in cases with increasing severity. The disease is specific to pregnancy. After the end of pregnancy, the expectant mother will recover completely.

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