Hypertension experienced by pregnant women will vary, mild hypertension or severe hypertension. However, hypertension during pregnancy will affect the health of the mother and the fetus, so you should immediately consult an obstetrician to reduce the risk of hypertension in the mother and fetus.
My team of staff through the article on the impact of hypertension during pregnancy will provide information about hypertension during pregnancy, types of hypertension that can occur during pregnancy, the effect on the fetus and solutions for pregnant women who suffer from hypertension.
Hypertension in Pregnant Women
Hypertension can happen to anyone, not only pregnant women. Hypertension is a disease related to blood vessels where there is an increase in blood pressure. A person can be declared hypertensive by checking blood pressure. Blood pressure checks are divided into two. The first is systolic examination, which relates to arterial pressure when it is pumped from the heart to the rest of the body. The second is diastolic, which is the pressure when the heart is resting.
Blood tests are expressed in fractional numbers. Normal blood pressure in pregnant women is 120/80 mmHg. This indicates that systolic 120 and diastolic 80, whereas if pregnant women experience systolic 121-139 mmHg and diastolic 81-89 mmHg, pregnant women must be vigilant because they enter pre hypertension.
Routine health checks during pregnancy are needed, one of which is to prevent hypertension. By knowing pre hypertension, pregnant women can lead a healthy life so they can avoid the risk of hypertension.
Some conditions that can increase the risk of hypertension in pregnant women include pre-pregnancy hypertension, pregnant women experiencing diabetes, kidney disease or being pregnant at a young age (under 20 years) or being pregnant at an old age (over 40 years).
Symptoms experienced by pregnant women who experience hypertension include swelling of the hands and feet, pregnant women experiencing shortness of breath, pain in the gut, experiencing vomiting, unbearable headaches and even experiencing blurred vision.
Types of Hypertension During Pregnancy
Hypertension can occur in 2-3 percent of pregnancies. Hypertension can cause health problems in the mother and a negative impact on the fetus. Hypertension that attacks pregnant women can be classified into several categories, including:
1. Essential Hypertension
Hypertension is included in mild hypertension and the cause is unknown. Essential hypertension often appears without symptoms, even does not experience dizziness and heaviness like complaints that often occur in other hypertensive sufferers. Essential hypertension is characterized by a cystocell blood pressure between 140-160 mmHg and a diastocele between 90-100 mmHg. Even blood pressure is difficult to lower in patients with essential hypertension.
Treatment can be done with a healthy and psychological lifestyle so that there is no risk of severe hypertension. Severe hypertension will affect the fetus and the health of pregnant women. You can also consult a gynecologist for routine blood checks.
2. Hypertension Due to Pregnancy
Hypertension due to pregnancy was detected when the pregnant woman had no previous history of hypertension. Hypertension can occur for the first time at 20 weeks of gestation or during labor and even 48 hours after delivery. In addition, pregnancy hypertension increases if the mother has a medical history including diabetes mellitus, hereditary factors, vascular problems and also a large placenta.
Hypertension due to pregnancy is characterized by a diastolic increase of 15 mmHg -90 mmHG in examinations that are 1 hour apart. Regular health checks and consultation with a doctor are needed to reduce the risk of preeclampsia. In addition to monitoring blood pressure, refle and fetal condition.
Preeclampsia occurs in 10% in first pregnancies, 20-25% in pregnant women who have a history of hypertension and 5% in all pregnancies. The condition of preeclampsia has risk factors including first pregnancy, age too young or too old to get pregnant, a history of hypertension before pregnancy, obesity during pregnancy and pregnancy distances that are too close or too far.
Even the risk factors for preeclampsia will increase in pregnant women with twins. Even so, you don’t need to worry if you do regular checkups at your doctor so you can know the symptoms of preeclampsia. Symptoms of preeclampsia include swelling and checking for protein in the urine, which indicates that you have preeclampsia. In addition, an increase in blood pressure is an early warning of preeclampsia. Even pregnant women who experience an increase in body weight of more than 1 kg in one week or more than 3 kg in one month can be a sign of preeclampsia.
Preeclampsia in pregnant women is divided into two, mild preeclampsia and severe preeclampsia. In mild preeclampsia, the diastolic pressure increases 15 mmHg-90 mmHg in a measurement that is 1 hour apart, while diastolic reaches up to 110 mmHg. Whereas in severe preeclampsia, the diastolic pressure is greater than 110 mmHg and experiencing visual disturbances, even pregnant women experience epigastric pain.
Each preeclampsia has different treatments. In mild preeclampsia, you can carry out routine checks, monitored blood pressure. Pregnant women often rest until outpatient. Meanwhile, for severe preeclampsia, active management is performed. Medicines are given according to the doctor’s prescription and even hospitalization. Especially if pregnant women who enter 35 weeks of pregnancy experience preeclampsia, then active treatment is carried out.
Hypertension is growing, causing pregnant women to experience seizures. Pregnant women who experience rapid preeclampsia will trigger the risk of developing eclampsia. Symptoms experienced seizures, headaches, nausea, hyperreflexia and epigastric pain and even visual disturbances. For pregnant women who experience eclampsia, treatment is carried out by preventing seizures, stopping and overcoming hypertension which worsens the condition of the mother and the fetus.
Impact of Hypertension During Pregnancy
Hypertension during pregnancy will have an impact on the mother and the fetus. With high blood pressure, blood flow will be disrupted as well as in the kidneys, liver, brain, uterus and placenta. Pregnant women who suffer from preeclampsia will have an impact on the fetus where nutrients and oxygen will experience abnormal conditions. This is because the blood vessels will experience narrowing.
In the condition of pregnant women who have preeclampsia, the growth and development of the fetus will be hampered, causing the baby to be born with a low body weight. It can even increase the risk of preterm birth. Whereas in severe cases of preeclampsia, the baby must be born immediately, this condition is adjusted to the fetus that can live outside the womb or not. Further examination by an obstetrician is nee
ded to save the mother and the fetus.