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| symptoms of hypertension in pregnancy |
Hypertension in pregnancy, whether it happens before or after conception, should be managed properly, since hypertension can harm the baby because of decreased blood flow to the placenta. Besides that, pregnant women with hypertension tend to deliver prematurely.
Risk factors
Pregnant women are at a high risk of hypertension during pregnancy if:
Risk factors
Pregnant women are at a high risk of hypertension during pregnancy if:
- Medical history of chronic hypertension
- Previous pregnancy with hypertension
- Age: under 20, or more than 35.
- Family history of hypertension during pregnancy
- Medical history of diabetes, cardiovascular disease
- Heavy smoker, alcoholic, drug abuser
- Medical history of kidney disease
- Medical history of auto immune disease such as SLE, rheumatoid arthritis
- Being underweight or overweight before pregnancy
There are different kinds of hypertension in pregnancy:
- Gestational hypertension. If hypertension occurs after week 20. After delivery, the blood pressure will back to normal.
- Chronic hypertension. If hypertension occurs before pregnancy, or during pregnancy but before week 20. After delivery, it will last more than 12 weeks.
- Preeclampsia. It is a life threatening condition that is characterized by hypertension and protein in the urine after week 20 of pregnancy.
Symptoms of hypertension in pregnancy
- Prolonged headache
- Blurred vision
- Ringing in the ears
- Upper abdominal pain (just like dyspepsia), usually on the right side
- Abnormal weight gain (more than 2.3 kg per week)
- Increased vomiting
- Swelling in the face and hands
- Numbness in extremities
- Decreased fetal movement
- Persistent vaginal bleeding
Treatment of hypertension in pregnancy
If you experience the symptoms above, please be aware of preeclampsia. Go to your obstetrician to take some blood and urine tests, and sonography to know about the fetal well being. The doctor will give you antihypertension drugs that should be taken regularly. At home, you should check the blood pressure periodically. Hospitalization is also needed in certain condition.
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