Pre-existing essential hypertension complicating the puerperium Save
ICD-10 code: O10.03
Chapter: Pregnancy, childbirth and the puerperium
Pre-existing essential hypertension complicating the puerperium
Pre-existing essential hypertension is a condition where a person has high blood pressure before becoming pregnant. This condition can complicate the puerperium, which is the period after childbirth. During this time, there is an increased risk of complications such as pre-eclampsia, eclampsia, and stroke.
It is important for women with pre-existing essential hypertension to receive appropriate medical care during the puerperium. This may include monitoring blood pressure, administering medication, and ensuring adequate rest and nutrition. It is also essential to have a plan in place for delivery, with consideration given to the risk of complications and the safest method of delivery.
The following are some of the possible complications that can arise when pre-existing essential hypertension complicates the puerperium:
- Pre-eclampsia: This is a condition characterized by high blood pressure, protein in the urine, and swelling in the feet and legs. It can lead to serious complications such as seizures and organ damage.
- Eclampsia: This is a more severe form of pre-eclampsia that can cause seizures, coma, and even death.
- Stroke: Women with pre-existing essential hypertension are at an increased risk of stroke during the puerperium.
- Postpartum hemorrhage: This is excessive bleeding after childbirth and can be more likely in women with pre-existing essential hypertension.
Women with pre-existing essential hypertension should work closely with their healthcare provider to manage their condition during the puerperium. This may involve regular blood pressure monitoring, medication adjustments, and lifestyle changes such as a healthy diet and exercise.
In conclusion, pre-existing essential hypertension can complicate the puerperium and increase the risk of serious complications. It is important for women with this condition to receive appropriate medical care and have a plan in place for delivery. With proper management, women with pre-existing essential hypertension can have a safe and healthy pregnancy and delivery.