Hypertension and Pregnancy

Hypertension is a relatively common disorder in pregnancy. As hypertension during pregnancy defined as a systolic pressure above 140 mmHg and / or diastolic above 90 mmHg.

The present high price pressure during pregnancy can have adverse effects on the fetus (growth retardation, death endometrium) and the mother (kidney disorders, liver function and nervous system). The main types of hypertension during pregnancy is chronic hypertension and hypertension of pregnancy.

In chronic hypertension, hypertension is existing. The high prices are starting before 20 weeks and maintained for at least 12 weeks after delivery. In gestational hypertension, high prices appear after 20 weeks and hypertension ypostrefei within 6 weeks after delivery.

When hypertension is accompanied by a significant excretion of protein in urine, it is called eclampsia. Preeclampsia dyslei tioning combined with the endothelium (the cell layer investing inside the pots), with subsequent impaired blood supply to vital organs.

Eclampsia
In the most severe, may develop into eclampsia (preeclampsia with seizures corresponding to some extent with those of epilepsy). Women more likely to develop preeclampsia are multiparous, with a family history of preeclampsia or eclampsia in a previous pregnancy and those suffering from kidney disease.

Preeclampsia requires immediate treatment to prevent complications in pregnant and monitor fetal growth.
The mild hypertension (AP 140-150 / 90-95 mmHg) treated with ygieinodiaititika measures such as restriction of activities, stop using tobacco or alcohol and salt restriction. Weight loss is not recommended.

The normal level of blood pressure above which the drugs are required 150 / 95 mmHg.Treatment of pregnant women can not be done with the available drugs, because some are potentially harmful to the fetus. Moreover, it is recommended in women with hypertension who wish to become pregnant to consult their physician.
After delivery the mother showed that hypertension can breastfeed the infant. However, since most of antihypertensives are excreted in milk in some concentrations, if hypertension is mild, the action stopped and the mother is monitored.