Hypertension in Pregnancy
Pregnancy hypertension, it is the tension over 140/90. It emerges in the second half of the pregnancy. It is seen 6-7% of the pregnant women. Delivering in 37th week is recommended. Pregnancy hypertension turns into preeclampsia (toxemia of pregnancy ) in one quarter of the patients. It usually disappears after 40th day of the delivery.
Preeclampsia (toxemia of pregnancy)
It is characterized with the tension over 140/90, concomitant protein leakage in urine and edema in hands, legs and face. If the tension is 160-110 or over and there are symptoms such as visual impairment, severe headache, severe stomach-ache, dyspnea, decrease in urination, it is called as preeclampsia. Severe preeclampsia is an emergency situation. Patient should necessarily inform her doctor or seek emergency service. Treatment of preeclampsia is the delivery. High tension may continue until 40th day of postnatal term.
It exists in 3-5% of pregnant women. Chronic hypertension is high tension existing before pregnancy. Delivery in 37th week is recommended. It is more frequent in elderly pregnant women. If patient has anti-hypertensive medications used before pregnancy, they may be used in pregnancy after alterations.
If tension rises to 160-110 in a patient with pregnancy hypertension or chronic hypertensive and if there are concomitant visual impairment, severe headache, severe stomach-ache, dyspnea, decrease in urination, this means that superimposed preeclampsia is developed. There is a life threat and it is an emergency. Expectant mother should inform her doctor or if she can’t make contact, she should apply to emergency service.
Patients with pre-pregnancy hypertension or with a tension rising in pregnancy should be monitored closely. Tension may worsen in a night although it has been steady for months. Care should be taken with respect to severe preeclampsia symptoms. Preterm delivery is needed more frequently in these patients. Occasionally, growth failure in baby may accompany high tension. Patient is recommended to deliver in a center in which she and her baby can be closely monitored and baby can receive neonatal support in case of preterm delivery.