Gestational Hypertension in Pregnancy
Gestational hypertension is a pregnancy condition
characterised by high blood pressure in pregnancy. This condition should not be
confused with other blood pressure conditions such as chronic hypertension or
preeclampsia. Gestational hypertension generally develops in the second
trimester and goes away after you give birth. Don’t be alarmed if your doctor
observes high blood pressure during your pregnancy, many women with high blood
pressure deliver healthy babies. Your doctor would closely monitor your condition
as well as your baby’s health and growth.
To effectively manage gestational hypertension, let us first understand
this condition better. Medical experts are still to identify the exact causes
of gestational hypertension. A few factors that can increase the risk of
developing high bp in pregnancy include:
·
Having a history of hypertension or
gestational hypertension
·
Having any kidney disease
·
Being overweight/obese
·
Having diabetes
·
Being younger than 20 years or older than 40
years of age
·
Having multiple pregnancies (twins, triplets
etc)
During your prenatal visits, your doctor would evaluate
the risks to your pregnancy based on your medical and family history. Apart
from high blood pressure, you might also experience the following symptoms of
high BP in pregnancy:
·
Persistent headache
·
Oedema (swelling)
·
Sudden weight gain
·
Blurred or double vision
·
Nausea or vomiting
·
Pain in the upper side of your stomach
·
Making small amounts of urine
It is important to carefully monitor and manage signs of high
blood pressure during pregnancy as it can result in severe blood pressure
conditions such as preeclampsia. If you notice any new symptoms bring it to the
notice of your obstetrician right away.
If you are detected with high blood pressure, your doctor might run
additional tests to rule out any other conditions. These include:
·
Urine testing to check for protein (to check
kidney function)
·
Checking for swelling
·
Monitoring your weight
·
Liver function test
·
Blood clotting test
How to prevent high blood pressure during
pregnancy?
The main goal of treatment for gestational hypertension is
to prevent the condition from worsening. Your treatment would include the
following:
·
Foetal monitoring: During your prenatal
visits, your doctor would closely monitor your baby’s growth and health. Foetal
movement counting (keeping track of the baby’s kicks and movements), nonstress
testing (response of the baby’s heart rate to his/her movements), biophysical
profile (a combination of nonstress test and ultrasound) and doppler flow
studies (to measure the flow of your baby’s blood through a blood vessel) are
some of the tests performed to monitor your little one’s health.
·
Lab testing: Your obstetrician might order
routine blood and urine tests during your prenatal visits. This is done mainly
to test the presence of protein and monitor your condition.
·
Medications: Your doctor would prescribe
corticosteroids in case you have the risk of having a preterm delivery. These
medicines boost the growth of your baby’s lungs.
Gestational hypertension on its own doesn’t necessarily be
a cause of worry. However, if not managed correctly it can lead to
complications such as preterm labour and preeclampsia. Preeclampsia is a
serious blood pressure condition that affects various organ systems in the body
including the nervous system. The only course of treatment in this event is
performing an emergency delivery.
Tips for a healthy pregnancy
If you do have high blood pressure during your pregnancy,
the following tips can help you have a healthier pregnancy.
·
Eat healthy: Follow a balanced diet rich in
folic foods. These will help in foetal development. Remember during your
pregnancy, your baby eats what you eat. You can develop a diet plan unique to
your needs with the help of your OBGYN and nutritionist.
·
Relax: Pregnancy is a beautiful time but it
can also be a stressful one. Reducing stress is one of the most effective ways
to manage high blood pressure. Try calming techniques like meditation and
breathing exercises to relax. Also, remember to get plenty of rest and sleep
while you can.
·
Exercise:
Regular exercise can go a long way in managing high blood pressure in
pregnancy. Mild to moderate physical exercise 4-5 times a week also helps in
regulating mood and maintaining good foetal health. You can develop exercise
plans with the help of your obgyn to understand what is safe for you.
Remember, it is always better to err on the side of
caution and check with your doctor in case you aren’t sure whether something is
out of the ordinary or not.
FAQs
Ques: Is gestational hypertension and chronic hypertension
the same?
Ans: Gestational hypertension is a blood pressure
condition characterised by high bp after the 20th week of pregnancy. Chronic
hypertension is high bp that existed before the pregnancy. If you have high
blood pressure and are planning to or have become pregnant, consult your doctor
for ways to manage the condition. In case you are overweight, your doctor might
ask you to lose some pounds with diet and exercise to help manage your blood
pressure. Also, consult your OBGYN for any medications that you might be taking
for any pre-existing conditions.
Ques: What is preeclampsia?
Ans: Preeclampsia is a type of hypertensive disorder in
pregnancy characterised by high blood pressure and a significant amount of
protein in the urine. It can cause multiple organ systems to fail and can also
be fatal to the mother and child. Preeclampsia also hinders foetal growth by
restricting blood flow to the placenta. The exact causes of this condition are
not known however, it is more commonly seen in first time pregnancies, pregnant
teens and pregnant women over the age of 40. Signs and symptoms of preeclampsia
include:
·
Rapid weight gain or swelling caused by fluid
retention (oedema)
·
Abdominal pain
·
Severe headache
·
Nausea
·
Blurry or double vision
If you notice any of the above symptoms seek immediate
medical attention.
Ques: Can gestational hypertension be prevented?
Ans: There are no ways to completely eliminate the risk of
developing gestational hypertension. Early diagnosis and treatment are the most
effective ways to manage this condition. So, make sure to go on regular
prenatal visits to monitor the progress of your pregnancy.
Dr. Meenakshi Surve Pawar
MS (OBGYN), MBBS,
DNB(OBGYN), FICS (UK), FPAI, FMAS
Sr. Consultant
(Obstetrician and Gynecologist)
Aashirwad Clinic and
Sonography Center
Website:
https://www.aashirwadclinic.net
Contact:
+91-749935-7236
Address: Aashirwad Clinic
and Sonography Center, Sham Heights, First Floor, Shop No. 103, Old Jakat Naka,
Chinchwad, Pune - 411033
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