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The dangers of high blood pressure during pregnancy
Only a minority of women of childbearing age have hypertension. However,
approximately 10% of pregnant women do develop high blood pressure during
pregnancy.
In most cases, hypertension during pregnancy does not cause any major
complications. Unfortunately, a few women develop serious problems like
pre-eclampsia and eclampsia. Therefore, high blood pressure during pregnancy
must be monitored closely and controlled with medication where necessary.
Even in women who are not hypertensive, the chances of developing high blood
pressure go up significantly during pregnancy. This is due to a number of
factors, one of which is that pregnancy puts a lot of strain on the woman's
body.
An estimated 5% of women have elevated blood pressure before getting pregnant.
This condition is known as chronic hypertension. Many of them are not aware of
the fact.
In addition to the above, about 8% of women develop hypertension during
pregnancy, which is a condition called gestational hypertension. Fortunately,
this problem usually resolves itself after childbirth. Women who develop
gestational hypertension will need to have their blood pressure monitored
regularly even after the baby is born, because they have an increased chance of
developing the condition at a later stage.
One of the problems with hypertension is that it usually will not exhibit any
symptoms (except in extreme cases). This is why it is referred to as a silent
killer. Undetected hypertension is dangerous for anyone. It is more so for
pregnancy women because of the complications that can result. However, with
adequate monitoring and care, high blood pressure during pregnancy can usually
be controlled and complications prevented.
This is why doctors insist that pregnant women should have their blood pressure
monitored regularly. It is also important to ensure that the woman is calm and
relaxed before taking a blood pressure reading. If she is tense or anxious, it
can easily result in an inaccurate reading.
A pregnant woman is considered to have chronic hypertension if she had high
blood pressure before twenty weeks of pregnancy or before getting pregnant.
Chronic hypertension does not go away on its own after the baby is born. The
woman will continue to need treatment and monitoring in most cases.
Researchers are unclear about why young women of childbearing age develop
chronic hypertension. There are many factors involved including heredity,
lifestyle and diet. Untreated hypertension can lead to strokes and heart
attacks.
Women who have chronic hypertension without being aware of it do not realize the
risks they run when becoming pregnant. It is advisable to consult a doctor
before attempting to conceive.
Having chronic hypertension does not mean that a woman should not become
pregnant. It does mean that she must be closely monitored during pregnancy.
Medication will be prescribed only with great care because certain kinds of
drugs can cause harm to the baby. During the first trimester of pregnancy, blood
pressure tends to fall in most women. The doctor may ask her to stop taking
medication during this time.
The majority of women with chronic hypertension do not have any major
complications during pregnancy because they are carefully monitored. Roughly a
quarter of such women develop a condition called pre-eclampsia, which is can be
highly risky.
Some of the symptoms of pre-eclampsia include rapid weight gain, dizziness,
blurred vision, severe stomach pain, swollen face and hands and severe
headaches.
Pre-eclampsia can even be fatal. The presence of any of the above symptoms is
reason enough to see a doctor immediately.
While high blood pressure during pregnancy can have serious consequences, proper
care and medication will usually prevent problems.
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