Pre-existing hypertension complicating pregnancy, childbirth and the puerperium Save

Pre-existing Hypertension Complicating Pregnancy, Childbirth and the Puerperium

Pre-existing hypertension is defined as high blood pressure that is present before pregnancy or diagnosed before 20 weeks of gestation. Hypertension during pregnancy, childbirth, and the puerperium is a significant concern as it can lead to serious complications for both the mother and the baby.

Women with pre-existing hypertension are more likely to develop preeclampsia, a potentially life-threatening condition that can affect the mother's kidneys, liver, and brain. Preeclampsia can also restrict the blood flow to the baby, resulting in growth restriction or preterm birth.

Other complications associated with pre-existing hypertension during pregnancy include placental abruption, premature rupture of membranes, and cesarean delivery. Women with hypertensive disorders during pregnancy are also at an increased risk of developing cardiovascular disease later in life.

Treatment and Management

The goal of treatment for pre-existing hypertension during pregnancy is to maintain blood pressure within a safe range to reduce the risk of complications. Women with pre-existing hypertension should continue to take their blood pressure medication as prescribed by their healthcare provider.

It is also important to monitor blood pressure regularly throughout pregnancy and adjust medication as needed. Women with pre-existing hypertension should also be monitored for signs of preeclampsia and other complications.

Healthy lifestyle choices can also help manage pre-existing hypertension during pregnancy. These include maintaining a healthy diet, engaging in regular physical activity, and avoiding tobacco and alcohol use.

Conclusion

Pre-existing hypertension during pregnancy, childbirth, and the puerperium is a significant concern that requires close monitoring and management. Women with pre-existing hypertension should work closely with their healthcare provider to manage their blood pressure and reduce the risk of complications for both themselves and their baby.

1. Continue taking blood pressure medication as prescribed
2. Monitor blood pressure regularly
3. Watch for signs of preeclampsia and other complications
4. Maintain a healthy lifestyle