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What is the decision of cesarean section or normal delivery?Appropriate blood pressure lowering medications should be started in the early gestational weeks, close monitoring of pregnancy should be provided and appropriate conditions for mother and baby should be provided by hospitalization if necessary. The follow-up doctor will decide whether the mode of delivery should be normal or caesarean section. The two most important factors affecting this decision are gestational week and the severity of preeclampsia. The mother should be followed closely for the first 24-48 hours after birth. High blood pressure usually occurs during pregnancy and improves after birth. After six weeks of puerperium, high blood pressure still persists and is a poor inheritance to the mother and can be seen in 1-5% of patients. In such cases, the drug options that the mother can use are more because the pregnancy is over.
Considerations:The mother should be fed a balanced diet containing normal carbohydrates, proteins, fats and vitamins. Rapid weight gain during pregnancy or preeclampsia may be seen in women who do not gain weight fast. The mother should follow herself well, have headaches, flash light in the eyes, and experience situations such as fluctuations and decrease in baby's movements. Blood pressure, blood and urine tests should be followed from the beginning of the pregnancy. After 16 weeks iron supplementation should be provided to prevent anemia. Supplements such as calcium, magnesium, zinc, fish oil may be recommended. One of the most important causes of maternal and infant mortality is high blood pressure during pregnancy and regular follow-up with the doctor is required.