Friday, 10 February 2017

Pregnancy Care for Patients with Hypertension

The disorder of Hypertension in Pregnancy is a major cause of maternal, fetal and neonatal morbidity and mortality. Hypertension is the most common medical problem in pregnancy.

Women with hypertension in pregnancy have a higher risk of complications such as:
  • Abruptio placentae.
  • Cerebrovascular accident.
  • Disseminated intravascular coagulations.
The fetus has an increased risk of:
  • Intrauterine growth restrictions.
  • Prematurity.
  • Intrauterine death.
Hypertension which occurs during pregnancy are:
  • Gestational hypertension - Pregnancy-induced hypertension which develops after 20 weeks of gestation. It may be either transient hypertension of pregnancy or chronic hypertension and it cannot identified until the latter half of pregnancy.
  • Pre-eclampsia- Pregnancy-induced hypertension along with proteinuria or oedema or both.
  • Eclampsia – It is the occurrence of one or more convulsions superimposed on pre-eclampsia.
Management will mainly depend on the woman's BP, gestational age and blood flow in the placenta. Non-pharmacological management is recommended for most of the women but is highly not recommended when there is the presence of any kind of associated maternal and fetal risk factors. Non-pharmacological management will include close supervision, limitation of activities and some bed rest in the left lateral position.
Srishti Assisted Fertility & Advanced Laparoscopy Center in Pondicherry provides the best treatment and care for women during pregnancy.
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