Hypertension in pregnancy is a very common medical disorder with a lot of maternal, fetal and neonatal mortality and morbidity. It complicates around 7-15% of all pregnancies.
What do you understand by hypertension in pregnancy?
Defined as blood pressure of140/90 mm Hg or higher after 20 weeks of gestation. It also causes excretion of significant protein in urine.
The risk factors of hypertension in pregnancy:
Types of hypertension in pregnancy:
BP measurement – BP should be measured in sitting position with arm at the level of heart with a proper cuff size
Symptoms of hypertension in pregnancy:
Antenatal education about awareness of symptoms is necessary so that adequate medical attention is taken when any alarming symptom develops.
Prevention of hypertension in pregnancy:
Low dose aspirin is recommended in high risk cases from 12 weeks gestation. Hypertension in past pregnancy, chronic renal disease, autoimmune disease, diabetes, chronic hypertension, BMI>35, age>40, are a few high risk factors.
Calcium supplementation also reduces the risk of high BP in pregnancy
Management of hypertension in pregnancy:
Complications due to hypertension in pregnancy:
Prognosis of hypertension in pregnancy :
Major cause of maternal deaths all over the world. Risk is very high in severe hypertension. There is also a risk of cardiovascular disease later in life, so lifestyle modification, BP control, exercise, dietary modification, weight management, no smoking is necessary to prevent complications in future.