In pregnancy, chronic hypertension is defined as hypertension diagnosed before 20 weeks’ gestation. Up to 1.5% of pregnant women have chronic hypertension, which can result in harm to the mother and infant.
What causes chronic hypertension in pregnancy?
Risk factors for chronic hypertension include advanced maternal age (> 40 years), obesity (BMI ≥30 kg/m2), type 2 diabetese mellitus, renal disease, and gestational diabetes mellitus in the index pregnancy. Chronic hypertension can be primary (essential) or secondary to other etiology.
How is chronic hypertension treated in pregnancy?
The combined α- and β-blocker labetalol is often recommended as an alternative first-line1,30 or second-line agent35 for the treatment of hypertension in pregnancy. Labetalol compared with α-methyldopa or no treatment was studied in a population of 300 women with chronic hypertension.
What is considered chronic hypertension?
Chronic Hypertension is the term for having high blood pressure and increases your risk for heart attack, stroke, heart failure, or kidney disease.
Can you have a safe pregnancy with high blood pressure?
ANSWER: Having high blood pressure does not mean you can’t have a safe pregnancy. But it does raise your risk of problems during pregnancy. The risk of pregnancy complications also rises as you get older. Considering your current age and medical history, you should not delay another pregnancy for long.
What hypertension medications are safe in pregnancy?
According to NHBPEP methyldopa, labetalol, beta blockers (other than atenolol), slow release nifedipine, and a diuretic in pre-existing hypertension are considered as appropriate treatment .
How common is chronic hypertension in pregnancy?
Chronic hypertension is estimated to be present in ≈3% to 5% of pregnancies1,3,4 and is increasingly more commonly encountered. Factors contributing to the increase in prevalence include 2 major risk factors for hypertension, obesity and older age, which are of increasing prevalence in pregnancy.
How can you prevent hypertension during pregnancy?
Some ways to lower the risk of high blood pressure during pregnancy include:
- limiting salt intake.
- staying hydrated.
- eating a balanced diet that is rich in plant-based foods and low in processed foods.
- getting regular exercise.
- getting regular prenatal checkups.
- avoiding smoking cigarettes and drinking alcohol.
Can you have a natural birth with high blood pressure?
As long as your blood pressure remains within target levels, you should be able to have a natural vaginal birth. If you have severe hypertension, your blood pressure will be monitored every 15 to 30 minutes in labour.
Can hypertension cause miscarriage?
Women whose blood pressure is high before they are pregnant may be at increased risk for miscarriage, a new study has found. Researchers used data from a study of 1,228 women attempting pregnancy after having previously lost a baby.
Which antihypertensive is not safe in pregnancy?
|Table 1 Antihypertensive drugs to avoid in pregnancy and preconception|
|Angiotensin receptor blockers||Contraindicated|
Can chronic hypertension be cured?
Hypertension is a chronic disease. It can be controlled with medication, but it cannot be cured. Therefore, patients need to continue with the treatment and lifestyle modifications as advised by their doctor, and attend regular medical follow up, usually for life.
What should I do if my blood pressure is 160 over 100?
If your blood pressure is higher than 160/100 mmHg, then three visits are enough. If your blood pressure is higher than 140/90 mmHg, then five visits are needed before a diagnosis can be made. If either your systolic or diastolic blood pressure stays high, then the diagnosis of hypertension can be made.