Hypertension During Pregnancy

May 1st, 2013

The only person to say whether women can medicate (or continue medication) and what are the most appropriate drugs in case of suffering from hypertension is the specialist who controls your pregnancy. In general, the guidelines to follow depend on the degree of hypertension that women suffer. If a woman has a slightly high blood pressure, are medical and is trying to get pregnant or see that it is already, physician usually suspends pharmacological treatment that is following, as there could be risk of drugs to increase the morbidity and mortality of the fetus. Where blood pressure is moderately high, in general you should continue taking drugs antihypertensives. However, some of the drugs that are safe for women can injure the fetus, so specialist will review the medication, because we have determined most appropriate drugs during pregnancy. Each month, it is necessary to perform a scan for kidney function and the growth of the fetus is controlled with ultrasounds. Pregnant women with severe hypertension require special care and rigorous control, even hospitalization during the second half of pregnancy. Pregnancy can greatly worsen hypertension and in mother cause swelling of the brain, cerebral hemorrhage, renal failure, heart failure and death.

For the fetus, there are also serious risks such as premature detachment of the placenta from the uterine wall (Placental Abruption: oxygen and nutrient supply received by the fetus is interrupted and this may die). Although the placenta does not fall off, hypertension can reduce the blood supply that receives the placenta and retard fetal growth. In any case, as we say, will be the specialist indicating treatment adecuadopara each case, weighing risks and benefits. Probably give certain physical and nutritional guidelines to avoid complications in mild cases. And always a good gestational control is necessary to prevent the risks posed suffering hypertension during pregnancy, and as far as possible bring healthy habits since before achieve pregnancy to not suffer the disease when it does not suffer from chronically.

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