Pregnancy-induced hypertension (
PIH
) complicates 6-10% of pregnancies. It is defined as systolic blood pressure (SBP) >140 mmHg and diastolic blood pressure (DBP) >90 mmHg.
What are the types of hypertension in pregnancy?
- Gestational hypertension. Women with gestational hypertension have high blood pressure that develops after 20 weeks of pregnancy. …
- Chronic hypertension. …
- Chronic hypertension with superimposed preeclampsia. …
- Preeclampsia.
What is pregnancy-induced hypertension also called?
It occurs in about 7 to 10 percent of all pregnancies. Another type of high blood pressure is chronic hypertension – high blood pressure that is present before pregnancy begins. Pregnancy-induced hypertension is also called
toxemia or preeclampsia
.
What is the greatest form of pregnancy-induced hypertension?
Key points about
gestational hypertension
Gestational hypertension is a form of high blood pressure in pregnancy. It occurs in about 3 in 50 pregnancies. This condition can affect the health of both the mother and the baby, depending on how severe the issue is.
What is the difference between preeclampsia and pregnancy-induced hypertension?
Gestational hypertension is diagnosed when blood pressure readings are higher than
140/90 mm Hg
in a woman who had normal blood pressure prior to 20 weeks and has no proteinuria (excess protein in the urine). Preeclampsia is diagnosed when a woman with gestational hypertension also has increased protein in her urine.
What pregnancies are high risk?
Pregnant women
under 17 or over 35
are considered high-risk pregnancies. Being pregnant with multiple babies. Having a history of complicated pregnancies, such as preterm labor, C-section, pregnancy loss or having a child with a birth defect. A family history of genetic conditions.
What is high blood pressure at 38 weeks pregnant?
A blood pressure that is greater than 130/90 mm Hg or that is 15 degrees higher on the top number from where you started before pregnancy may be cause for concern. High blood pressure during pregnancy is defined as
140 mm Hg or higher systolic, with diastolic 90 mm Hg or higher
.
What is the normal BP for a pregnant woman?
Normal blood pressure in pregnancy
The American College of Obstetricians and Gynecologists (ACOG) state that a pregnant woman’s blood pressure should also be within the healthy range of
less than 120/80 mm Hg
. If blood pressure readings are higher, a pregnant woman may have elevated or high blood pressure.
What is the safest blood pressure medication during pregnancy?
Methyldopa
has been used for decades to treat high blood pressure in pregnancy and it appears to be safe. Labetalol has been extensively studied and has become increasing prescribed in pregnancy. Labetalol is now commonly used as a first-line treatment choice.
Can I have normal delivery with high blood pressure?
C-section birth: Women with high blood pressure may be
at a higher risk of delivering by cesarean section
. Placental abruption: In this condition, part or all of the placenta separates from the uterine wall before the baby is born.
Does high blood pressure affect fetus?
If blood pressure goes up during pregnancy, it can
place extra stress on her heart and kidneys
. This can lead to heart disease, kidney disease, and stroke. High blood pressure during pregnancy also increases the risk of preeclampsia, preterm birth, placental abruption, and cesarean birth.
Will I be induced if I have gestational hypertension?
Induction of labor
after 37 weeks
recommended for women with gestational hypertension/mild pre-eclampsia (Hypitat study) Pregnant women with mild hypertensive disorders such as high blood pressure/mild pre-eclampsia^ should have their labour induced once they complete 37 weeks of their pregnancy.
How is hypertension diagnosed in pregnancy?
- Blood pressure readings.
- Urine testing to check for protein. This is a sign that your kidneys aren’t working well.
- Checking for swelling.
- Checking your weight more often.
- Liver and kidney function tests.
- Blood clotting tests.
Can pregnancy induced hypertension go away?
Will I still have high blood pressure (hypertension) after the baby is delivered? High blood pressure (hypertension) during
pregnancy typically goes away after the baby is delivered
but increases the risk of high blood pressure and heart disease in the future.
Is gestational hypertension high risk?
Gestational hypertension usually goes away after you give birth. However, some women with gestational hypertension have
a higher risk of developing chronic hypertension in the future
.
What does preeclampsia do to the baby?
Preeclampsia affects
the arteries carrying blood to the placenta
. If the placenta doesn’t get enough blood, your baby may receive inadequate blood and oxygen and fewer nutrients. This can lead to slow growth known as fetal growth restriction, low birth weight or preterm birth.
