Learn the care that must be taken to control hypertension during pregnancy
Who already suffers from hypertension should redouble the care in pregnancy. But even those who have no history of high blood pressure should be aware of certain symptoms during pregnancy! Pre-eclampsia, or DHG, affects about 10% of pregnant women in the world, and can cause serious health problems for both mother and baby.
Caused by poor adaptation of the woman’s body during pregnancy, pre-eclampsia is usually diagnosed after the twentieth week of gestation, and may occur even in those who have never suffered from pressure problems. “Hormone mechanisms, immunological changes in placental formation and genetic pre-disposition favor the development of this pathology, so we can not guarantee that the woman will not develop this disease,” explains the gynecologist and obstetrician Erica Mantelli .
Symptoms and consequences
Both those who suffer from DHEG and those who already have previous problems of pressure should be aware of the symptoms. When hypertension in these cases is not controlled, the consequences can be severe. In addition to increased blood pressure levels, protein loss can still occur through the urine, bumps, and can lead to nausea, vomiting, stomach pain, vertigo and blurred vision. “The great danger of hypertension in pregnancy is that it can have serious consequences for the pregnant woman and the baby. Uncontrolled hypertension can lead to maternal or fetal death or both.”
For those suffering from chronic hypertension, it is necessary to take a lot of care, since there is a possibility of worsening blood pressure levels – which can lead to the development of DHEG. One of the tips of the obstetrician is to try to schedule the pregnancy in advance, having medical supervision during the planning, so that the pregnancy occurs at an appropriate time, where the symptoms of hypertension are controlled with the appropriate medications for a pregnant woman.
Hellp syndrome and eclampsia
The greatest risk for the pregnant woman who suffers from hypertension or develops DHEG is the development of other diseases, such as eclampsia or Hellp syndrome. Eclampsia is a stage after DHEG, and can cause seizures, vaginal bleeding and even lead to coma. Hellp syndrome is a serious alteration that can occur in hypertensive pregnant women, causing problems with the liver, kidneys and changes in blood components. “As these changes are very serious and can even cause maternal death, when the Hellp Syndrome is diagnosed, it is indicated the interruption of the immediate pregnancy, through an emergency delivery,” warns Tathianne Trindade, coordinator of Maternity Hospital Saint Helena.
Care before, during and after pregnancy
It is important to emphasize that routine follow-up with a cardiologist and an obstetrician is as essential as practicing exercise and healthy eating for any pregnant woman before, during and after pregnancy. The woman who develops DHEG usually returns to normal after delivery, but there is a possibility of predisposition in a future pregnancy. “It’s important to keep post-partum medical follow-up with blood pressure monitoring, because if the pressure buildup persists, proper follow-up is necessary,” explains Erica, who also warns that stress can aggravate hypertension.
“Unfortunately, it is not possible to prevent the development of pre-eclampsia. However, prenatal monitoring, adequate maternal weight gain and consumption of low-sodium diets can help prevent severe forms,” says Tathianne.
Caring for the body and mind is essential for anyone looking for a quiet and healthy pregnancy. It is not possible to escape from chronic hypertension, but there are ways to keep health under control. Eating well, practicing physical activity, avoiding excessive weight gain, getting a good night’s sleep, relaxing exercises, proper prenatal care, and following strict medical guidelines are attitudes that will make a difference for you and for your baby.