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I am pregnant, but I found that my blood pressure is high. What can I do? I am afraid that taking medication will affect the baby, and I am afraid that not taking medication will affect me.

Hypertension is a common chronic disease that we suffer from. Nearly 300 million people in the country suffer from high blood pressure. Being pregnant and having high blood pressure at the same time is a unique situation thatThis is a situation we callhypertensive pregnancy. The country has approximately5-10% of pregnant womenGestational hypertension can occur.

Hypertension in pregnancy can be subdivided into two conditionsOne isHigh blood pressure before pregnancyUp, the other one isHypertension that occurs during pregnancy do. The former condition accounts for about 30% of gestational hypertension and the latter for 70%. Looking at the subject's question it would appear that it is also one of the latter conditions, butWhatever the case may be, it has a greater or lesser impact on the pregnant woman and the fetus.

How high does blood pressure rise to be called high blood pressure?

The diagnosis of hypertension, with or without pregnancy, is a blood pressure ≥140/90 mmHg. However, be aware that if elevated blood pressure is detected before pregnancy, it needs to beTake your blood pressure 3 times and never on the same day.Both reach 140/90 mmHg to diagnose hypertension; while elevated blood pressure is found during pregnancy, theOnly 2 measurements 4 hours apart are required.Both reach 140/90mmHg to be diagnosed as high blood pressure. This reminds us thatMore emphasis needs to be placed onElevated blood pressure detected during pregnancy.

What are the conditions that may cause hypertension in pregnant women?

The occurrence of high blood pressure in pregnant women is alsoA disease caused by a combination of factors, has to do with our genetics, age, our condition, external environment, etc. Some of it we can't change, but some of it we can.Here are a few of the more common factors:

  • Maternal age at first birth >18 years or >40 years

  • Chronic diseases such as diabetes, chronic kidney disease, sleep apnea syndrome, and autoimmune diseases

  • Maternal body mass index (BMI) ≥ 24 kg/m²

  • Hypertonicity of the uterus

  • Family history of hypertension

  • Stress, smoking and other bad lifestyles

  • cold climate

What are the possible dangers of being pregnant and finding out about high blood pressure?

There may be two aspects of harm. For the pregnant woman, there may be proteinuria, severe damage to target organs such as the heart, brain, and kidneys, and may even increase the risk of maternal death; for the fetus, there may also be preterm labor, low birth weight, and intrauterine growth restriction, which may also increase the risk of fetal death.Please note that I'm talking about possible here.

But it doesn't always happen.Controlling your blood pressure can effectively reduce the risk of these harms.

How do I control my blood pressure when I'm pregnant?

First of all, it should be clear that the purpose of our blood pressure control is both to ensure the safety of the mother and child and to minimize the occurrence of complications. Generally speaking, it is safer to control the blood pressure below 150/100mmHg, but it is better not to be lower than 130/80mmHg, so as to avoid insufficient perfusion of blood flow to the placenta.

1. If the blood pressureNot up to 150/100 mmHg, may not have to take antihypertensive medication and canBlood pressure is controlled through lifestyle such as appropriate activity, relaxation, weight control, appropriate sodium restriction (6 g/d), and adequate sleep.

2. IfBlood pressure ≥150/100 mmHg with additional medication based on lifestyle improvementThe commonly used blood pressure reduction isLabetalol and nifedipine, both antihypertensive drugs have a better safety profile. Also.If there is no proteinuria or target organ damage, you may also consider starting increased medication for blood pressure control if your blood pressure is ≥160/110 mmHgHowever, in this case usually the doctor will recommend that the pregnant woman be hospitalized for observation and evaluation, as there is a risk of stroke in pregnant women. Attention during pregnancyprohibitionUse Prilosec and sartans to lower blood pressure, as these may cause fetal malformations. Antihypertensive drugs are best used under the supervision of a doctor.

3.Actively monitor blood pressure.This is also important to find out if your blood pressure is abnormal in time. You can buy a blood pressure monitor for yourself, measure your blood pressure at home at least once a day and record it, and consult your doctor promptly if you find any abnormality.

To summarize.

During pregnancy, we need to pay attention to the measurement of blood pressure.Early detection of abnormal blood pressure and timely management of blood pressure can help reduce the occurrence of various complications. Healthy eating habits, proper exercise and good mood can improve our blood pressure.

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Your case is gestational hypertension, which is a disease specific to pregnancy. The cause is more complex, may be genetic factors, may be due to multiple pregnancies, may be caused by cellular immune over-excitement, or renal function is not good, insulin resistance and so on, at present for the etiology of gestational hypertension is not very clear. Of course, it is also possible that before pregnancy, you already have fluctuations in blood pressure, just as well as unclear, know that after pregnancy in the pregnancy test only found.



The main treatment for high blood pressure in pregnancy is a combination of medication and diet. Symptoms and blood pressure vary in degree, and the cure is different.

You should check, which degree of high blood pressure level you are currently at, such as whether it is mild, moderate or severe.

If it is only mild, it can be treated with dietary therapy (including salt and fat restriction and weight control), rest and constant monitoring of the fetus and mother. If it is moderate, a combination of treatments including medications is needed, and if the high blood pressure is severe, it is necessary to terminate the pregnancy by surgically inducing labor.



Final Reminder.

You don't have to worry too much, but it is advisable to follow your doctor's advice as to the exact extent of your condition at the moment, how to treat it, and what medications you need.

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