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Hypertension in Pregnancy Today

Hypertension in pregnancy is the most likely problem to happen during your pregnancy. In fact 2 or 3 percent pregnant women have Pre-Eclampsia (Pregnancy induced hypertension).

Theresa Butler of Ontario, California had Hypertension in pregnancy during her 1st pregnancy. She found out on her fourth prenatal visit.

As she found out, first pregnancy, obesity, a new sexual partner, a history of preeclampsia, and time since your last pregnancy of less than 2 years or more than 10 years increase your chances of Hypertension in pregnancy.

Other risk factors for Hypertension in pregnancy are chronic hypertension, systemic lupus erythematosus,  preexisting diabetes, type 2, secondary causes of chronic hypertension like hypercortisolism and obesity.

Hypertension in pregnancy might not cause any symptoms. However, it can cause visual disturbances like scintillations (flashes of light) and scotomata (blind spots) - probably from spasm of cerebral arteries, rapidly increasing swelling of the legs, headache and rapid weight gain. Upper abdominal pain might suddenly occur and is usually constant and fairly severe. Headaches are often in the front, throbbing and similar to migrane headaches.

The big problem of Hypertension in pregnancy is that it can cause thromboembolism (blood clots), protein in the urine, placental abruption where the placenta detaches from the uterus, kidney failure, swelling of the liver which can cause liver failure and even death of the mother. In fact, from 1991 to 1999 over 15% of the deaths of women during pregnancy were caused by Hypertension in pregnancy.

There are three types of Hypertension in pregnancy: Chronic Hypertension, Preeclampsia and Transient hypertension.

Chronic Hypertension

Usually chronic hypertension has no other cause. However, it can be caused by kidney disease like polycystic kidneys, glomerular or interstitial disease, too much parathyroid hormone, problems with the blood vessels in the kidneys called renal artery stenosis or fibromuscular dysplasia, hormone problems such as adrenocorticosteroid or mineralocorticoid excess, pheochromocytoma, hyperthyroidism or hypothyroidism or even using oral contraceptives.

Preeclampsia

Nobody knows for sure what causes preeclampsia. One thing that we know is that it is caused by a problem with the inside lining of the blood vessels. This causes the blood vessels to spasm. When the arteries get smaller, the blood pressure increases. The damage also causes the blood vessels to leak causing swelling. It can cause problems with the brain, lungs and kidneys. These changes also can cause lower blood flow to the growing baby.

Transient hypertension

The elevated blood pressure called transient hypertension just happens late in pregnancy. Then after delivery, the blood pressure goes back to normal. But, it probably increases your chances of getting high blood pressure later in life.

Hypertension in pregnancy is one of the major reasons that you should keep your regular appointments with your family doctor.

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Hypertension Causes, Prevention and Treatment Today

Marshall Robertson of Springfield couldn’t believe it. Dr. Berry at the Springfield West Clinic broke the bad news. He had hypertension.

Marshall had a good excuse. After all, as a corporate executive in Cincinnati Milacron, he certainly had his share of stress. And, let’s not even talk about the pipe.

According to Dr. Berry just being male was a strike against him. The fact that he was 41 years old certainly didn’t help.

Unfortunately, high blood pressure rarely causes any symptoms until it has caused arteriosclerosis and possibly an aneurysm. In fact, high blood pressure can be markedly severe before there are any symptoms.

Your blood pressure goes up and down throughout the day. If you run up a flight of stairs your pressure will go up. Even if you just see a love scene on your DVD you will see a rise in your blood pressure.

If you took your blood pressure right after that, it would read high, but not be important.

Things you eat, drink and smoke can also increase your blood pressure. Caffeine drinks like coffee orcola drinks will do the same. Nicotine from cigarettes stimulates the heart to increase your pressure as well.

You may think that alcohol relaxes you, but the long term effects of all those alcohol, cocktails, and liquers drinks take their toll as well.

Spending too much time in your favorite recliner instead of getting some exercise increases your chances of blood pressure problems.

Fortunately, there are many places you can get your blood pressure checked today. Many stores and pharmacies have automatic blood pressure machines you can use. Just sit down for a couple minutes and get it checked. If you pressure is up slightly three different times, you should see a doctor. If it is over about 160 just once, you should also seek medical advice.

Rest makes your blood pressure go down. Because of that, the best time to take your blood pressure is when you first get up in the morning.

But, back to Marshall. His family history made a big difference in his high blood pressure. He had a father who died at age 54 of a stroke. Genetics can really increase your chances of needing treatment for high blood pressure.

Fortunately, these days, there is a lot you can do to decrease high blood pressure.

Changing your diet will definitely help. You will improve your blood pressure as well as your overall health by increasing your intake of fruits and vegetables. You should get regular exercise, lots of water and a good night’s sleep. If you can stop using tobacco and limit or cut out your alcohol altogether that will help a great deal.

If you don’t completely normalize your blood pressure by those means, many different medications are available today that will help. You will want to find a physician that you can work with on keeping your pressure normal.

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