Bringing new life into the world is a joyous journey, but for many expectant mothers, it can come with unexpected challenges, such as hypertension in pregnancy. Hypertension, a condition often overlooked in everyday conversations, can significantly impact pregnancy. In fact, according to the Centers for Disease Control and Prevention, in the United States, high blood pressure happens in 1 in every 12 to 17 pregnancies among women ages 20 to 44.

Hypertension In Pregnancy

Hypertension in pregnancy refers to elevated blood pressure levels and is classified into four main types, each with distinct characteristics, implications, and management approaches. Here at Raleigh OB/GYN, we’re here to help you understand the four types of hypertension in pregnancy. 

       1. Gestational Hypertension

Gestational hypertension typically manifests after the 20th week of pregnancy and is characterized by high blood pressure without the presence of protein in the urine or other systemic symptoms. This condition usually resolves after delivery, and most women with gestational hypertension do not develop complications. However, it requires close monitoring as it can progress to more severe forms of hypertension.

       2. Chronic Hypertension

Chronic hypertension predates pregnancy or is diagnosed before the 20th week of gestation. Women with chronic hypertension often have high blood pressure readings before pregnancy or exhibit persistently elevated levels during pregnancy. This condition requires ongoing management as it poses an increased risk of complications such as preeclampsia. According to the National Library of Medicine, ​​two categories of severity are recognized: mild (up to 179 mm Hg systolic and 109 mm Hg) and severe (≥ 180 systolic or 110 diastolic).

       3. Preeclampsia

Preeclampsia is a serious condition characterized by high blood pressure and the presence of protein in the urine after the 20th week of pregnancy. It is often accompanied by other signs such as swelling, rapid weight gain, headaches, vision changes, and abdominal pain. Preeclampsia can progress rapidly and lead to severe complications, affecting the mother’s organs such as the kidneys, liver, and brain, and potentially impacting fetal growth and well-being.

       4. Eclampsia

Eclampsia is the most severe form of preeclampsia and involves the development of seizures or convulsions in a woman with preeclampsia. These seizures can be life-threatening for both the mother and the unborn child and require immediate medical intervention.

Risks and Complications

Hypertension in pregnancy poses risks to both maternal and fetal health. Potential complications include:

• Reduced Blood Flow: High blood pressure can compromise blood flow to the placenta, affecting the fetus’s growth and development.
• Premature Birth: Hypertension increases the risk of preterm labor and delivery, which can result in complications for the newborn.
• Placental Abruption: In severe cases, high blood pressure can lead to the separation of the placenta from the uterine wall, endangering both the mother and the baby.
• Organ Damage: Preeclampsia and eclampsia can cause damage to vital organs in the mother, leading to severe health consequences.

Management And Treatment

The management of hypertension in pregnancy depends on the type and severity of the condition. It often involves a combination of monitoring, lifestyle modifications, medication, and close medical supervision:

• Monitoring: Regular blood pressure checks and urine tests are essential for early detection and monitoring of hypertension and associated complications.
• Lifestyle Modifications: Maintaining a healthy diet, adequate hydration, regular exercise, and avoiding stress are crucial in managing blood pressure levels during pregnancy.
• Medication: In cases where lifestyle modifications aren’t sufficient, healthcare providers may prescribe medications to control blood pressure. However, medication choices may vary to ensure the safety of both the mother and the fetus.

Importance Of Prenatal Care

Early and regular prenatal care is critical in detecting and managing hypertension in pregnancy. Healthcare providers can monitor blood pressure, perform necessary tests, and provide guidance on managing the condition to reduce the risk of complications. Timely intervention and close monitoring can significantly improve outcomes for both mother and baby.

 

At Raleigh OB/GYN, we are committed to providing care for all stages of a woman’s life. This includes necessary health screenings to monitor well-being and prevent illnesses. If you have questions about hypertension in pregnancy, contact us at 919-876-8225 or request an appointment online.