Can a hypertensive woman get pregnant
The biggest hiccup, though, is if your partner is the one taking an antihypertensive medication, since it can affect how well and for how long he can maintain an erection and achieve ejaculation. But all your plumbing should continue to work fine. However, managing your pregnancy will take a little extra work on your part. Certain high blood pressure meds like beta-blockers are usually okay, but others, including ACE angiotensin-converting enzyme inhibitors, are a no-go because they can be dangerous to you and your developing baby. Talk to a cardiologist before you start to get too busy — she can help give you the all-clear and make sure your condition is well controlled. But on the bright side, if you keep a close eye on your blood pressure, and your doctors are fully informed, you should be able to not only get pregnant but also deliver a healthy and happy baby through a full term.
SEE VIDEO BY TOPIC: Preeclampsia Video - Brigham and Women's HospitalContent:
High Blood Pressure and Getting Pregnant?
High blood pressure and pregnancy isn't necessarily a dangerous combination. Here's what you need to know to take care of yourself — and your baby. Sometimes high blood pressure is present before pregnancy. In other cases, high blood pressure develops during pregnancy. Preeclampsia occurs when hypertension develops after 20 weeks of pregnancy, and is associated with signs of damage to other organ systems, including the kidneys, liver, blood or brain.
Untreated preeclampsia can lead to serious — even fatal — complications for mother and baby, including development of seizures eclampsia. Previously, preeclampsia was diagnosed only if a pregnant woman had high blood pressure and protein in her urine.
Experts now know that it's possible to have preeclampsia without having protein in the urine. Monitoring your blood pressure is an important part of prenatal care. If you have chronic hypertension, your health care provider will consider these categories for blood pressure measurements:.
Sudden weight gain and swelling edema — particularly in your face and hands — often accompanies preeclampsia. But they also occur in many normal pregnancies, so weight gain and swelling aren't considered reliable signs of preeclampsia.
Some blood pressure medications are considered safe to use during pregnancy, but angiotensin-converting enzyme ACE inhibitors, angiotensin II receptor blockers and renin inhibitors are generally avoided during pregnancy. Treatment is important, however. High blood pressure puts you at risk of heart attack, stroke and other major complications. And it can be dangerous for your baby. If you need medication to control your blood pressure during pregnancy, your health care provider will prescribe the safest medication at the most appropriate dose.
Take the medication exactly as prescribed. Don't stop taking the medication or adjust the dose on your own. If you have high blood pressure, schedule a preconception appointment with the health care provider who'll handle your pregnancy. Also meet with other members of your health care team, such as your family doctor or cardiologist. They'll evaluate how well you're managing your high blood pressure and consider treatment changes you might need to make before pregnancy.
If you're overweight, your health care provider might recommend losing the excess pounds before you try to conceive. During pregnancy, you'll see your health care provider often. Your weight and blood pressure will be checked at every visit, and you might need frequent blood and urine tests. Your health care provider will closely monitor your baby's health, as well. Frequent ultrasounds might be used to track your baby's growth and development.
Fetal heart rate monitoring might be used to evaluate your baby's well-being. Your health care provider might also recommend monitoring your baby's daily movements. Researchers continue to study ways to prevent preeclampsia, but so far, no clear strategies have emerged. If you had a hypertensive disorder in a prior pregnancy, your doctor might recommend a daily low-dose aspirin 81 milligrams beginning late in your first trimester. Your health care provider might suggest inducing labor before your due date to avoid complications.
The timing of your induction is based both on how well-controlled your blood pressure is, whether you have end-stage organ damage, and whether your baby has complications, such as intrauterine growth restriction due to your hypertension. If you have preeclampsia with severe features, you might be given medication during labor to help prevent seizures. Breast-feeding is encouraged for most women who have high blood pressure, even those who take medication.
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By Mayo Clinic Staff. Show references High blood pressure in pregnancy. National Heart, Lung, and Blood Institute. Accessed June 1, Frequently asked questions. Pregnancy FAQ High blood pressure during pregnancy. American College of Obstetricians and Gynecologists. Accessed June 4, Hypertension in pregnancy. Washington, D. August P. Management of hypertension in pregnant and postpartum women. Accessed Jan. Understanding blood pressure readings. American Heart Association.
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High Blood Pressure in Pregnancy
However, nearly half of all adults with high blood pressure are women. And at 65 and older, women are more likely than men to get high blood pressure. Medical researchers have found that birth control pills increase blood pressure in some women. The combination of birth control pills and cigarette use may be especially dangerous for some women.
Back to Your pregnancy and baby guide. If you're pregnant and have a history of high blood pressure hypertension , or have developed high blood pressure for the first time in pregnancy, here's what you need to know about managing it. If you're taking medicine to lower your blood pressure and want to try for a baby, talk to your GP or specialist first. They may want to switch you to a different medicine before you get pregnant. If you find out you're already pregnant, tell your doctor immediately.
Number of pregnant women with high blood pressure spiked over last four decades
Women of childbearing potential with treated hypertension are given information annually about safe antihypertensive treatment during pregnancy. Information can be provided to women who may become pregnant about safe antihypertensive treatment during pregnancy as part of an annual review of hypertension care. Women should be informed about potential risks, including the risk of congenital abnormalities, linked to particular antihypertensive drugs. This should enable women to arrange a discussion with the healthcare professional responsible for managing their hypertension about alternative antihypertensive treatments if they are planning pregnancy or become pregnant. Evidence of local arrangements to ensure that women of childbearing potential with treated hypertension are given information annually about safe antihypertensive treatment during pregnancy. Service providers ensure that systems are in place to give women of childbearing potential with treated hypertension information annually about safe antihypertensive treatment in pregnancy. Healthcare practitioners give information annually to women of childbearing potential with treated hypertension about safe antihypertensive treatment in pregnancy.
Some women have high blood pressure during pregnancy. This can put the mother and her baby at risk for problems during the pregnancy. High blood pressure can also cause problems during and after delivery. High blood pressure, also called hypertension , is very common.
High blood pressure and pregnancy isn't necessarily a dangerous combination. Here's what you need to know to take care of yourself — and your baby. Sometimes high blood pressure is present before pregnancy. In other cases, high blood pressure develops during pregnancy.
High Blood Pressure During Pregnancy
The number of women with high blood pressure HBP when they become pregnant or who have it diagnosed during the first 20 weeks of pregnancy has spiked in the United States over the last four decades, especially among black women, according to new research in the American Heart Association's journal Hypertension. Having high blood pressure before becoming pregnant and during pregnancy poses potential complications for both women and their unborn children, including increased risks of stillbirth or infant death and preeclampsia life-threatening high blood pressure during pregnancy , stroke, heart failure, cardiomyopathy heart muscle disease or kidney failure and death among other risks for the mother. The researchers defined high blood pressure as mm Hg systolic blood pressure and 90 mm Hg diastolic blood pressure over the course of the study, however, the American Heart Association defines high blood pressure as mm Hg systolic blood pressure the top number in a blood pressure reading and 80 mm Hg diastolic blood pressure the bottom number in a blood pressure reading. Ananth, Ph.SEE VIDEO BY TOPIC: Hypertension during pregnancy
It's a good idea to talk with your primary care physician and your ob-gyn about your hypertension before you get pregnant. Your doctors can help you understand how your condition may affect your pregnancy and how best to treat it while you're pregnant. The vast majority of women with "chronic essential hypertension" high blood pressure that's not caused by another condition such as kidney disease have normal pregnancies and healthy babies. However, pregnant women with chronic hypertension are more likely to have a cesarean delivery or complications such as gestational diabetes. And having hypertension before you get pregnant is a risk factor for a potentially life-threatening condition known as preeclampsia also called toxemia. Studies show that between 13 and 40 percent of pregnant women with chronic hypertension develop preeclampsia.
High Blood Pressure and Women
Blood pressure is the force of your blood pushing against the walls of your arteries as your heart pumps blood. High blood pressure , or hypertension, is when this force against your artery walls is too high. There are different types of high blood pressure in pregnancy:. If you go on to develop HELLP syndrome, you may also have bleeding or bruising easily, extreme fatigue, and liver failure. Your health care provider will check your blood pressure and urine at each prenatal visit. They may include blood tests other lab tests to look for extra protein in the urine as well as other symptoms.
Blood pressure is the pressure in the blood vessels in your body. It is the force with which the blood moves through the blood vessels. Doctors and nurses measure blood pressure by putting a cuff around your upper arm. Then they listen to your blood flow with a stethoscope.
What is gestational hypertension? What kinds of problems can hypertension cause during pregnancy? How is chronic hypertension during pregnancy managed?
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