Pregnancy induced hypertension (formerly known as pregnancy induced hypertension) must be a term that many mothers have heard from doctors during pregnancy. Is it terrible? Where is it? How should we deal with it? Let's take a look at the following article!
The normal blood pressure of human body is less than 140/90mmHg, even for pregnant women. When the blood pressure during pregnancy is ≥ 140/90mmHg, it may be pregnancy-induced hypertension. As the saying goes, know yourself and know yourself. In order to win the battle with PIH, we must have a full understanding of it. Here's a popular explanation of several issues that everyone is most concerned about this disease.
1 Q: What are the clinical manifestations of PIH? Which pregnant mothers are easy to get PIH?
typical case
A Ying is a white-collar worker in the workplace. Because I worked too hard to get married and have children, I didn't meet my Mr Right until I was 35 years old. Today, at the age of 36, she has been pregnant for 28 weeks. One morning, after waking up, she was ready to go to work. Suddenly, she felt dizzy and unstable. I thought her legs and feet seemed to be getting swollen these days. Maybe something's wrong. I quickly asked for leave from the company to go to the hospital and took my blood pressure of 60. The doctor said that she was in the second stage of hypertensive disorder complicating pregnancy, also called preeclampsia. If it gets worse, she will cramp, so she will be hospitalized quickly.
Expert guidance
The typical symptoms of PIH are hypertension, edema and proteinuria after 20 weeks of pregnancy. In severe cases, there will be headache, dizziness, nausea, vomiting, and even coma and convulsions. The high-risk factors of pregnancy-induced hypertension syndrome are: elderly primiparas or pregnant women under 20 years old, multiple pregnancies (common twins are one of them), pregnancy-induced hypertension syndrome mothers, diabetes, obesity and malnutrition. Pregnant mothers with these inducing factors should pay special attention to their symptoms of pregnancy-induced hypertension and go to the hospital for consultation and treatment in time.
Q: What effect does PIH have on mother and fetus?
typical case
Xiao Zhang was diagnosed with hypertensive disorder complicating pregnancy at 32 weeks of pregnancy. The doctor told her to rest at home, monitor her blood pressure and many other precautions, which she didn't take to heart. She often feels dizzy. She feels normal. In the 38th week, I suddenly had severe abdominal pain and went to the hospital. After detailed examination, the doctor confirmed that there was the possibility of placental abruption and the fetal heart was not good. I will have a caesarean section soon. The child was born more than 2 kg and entered the incubator. Xiao Zhang's own laboratory indicators are not normal, and liver and kidney functions are seriously affected. He stayed in the hospital for an extra week before he recovered. Xiao Zhang regrets that he didn't listen to the doctor, didn't do his mother's duty, and felt sorry for his children and himself.
Expert guidance
Pregnancy-induced hypertension syndrome is characterized by the contraction and spasm of small blood vessels in the whole body, which will affect the blood supply of many organs, especially the kidney, liver and blood system, and will gradually damage the functions of various organs, which will lead to organ failure and irreversible damage for a long time. At the same time, it will also affect the blood supply of placenta, leading to fetal hypoxia, stunting, low birth weight and neonatal asphyxia, with very serious consequences. In the case of hypertension and abnormal coagulation function, placental abruption will occur, that is, the placenta will bleed before labor and then automatically separate from the uterine wall. This kind of complication is quite dangerous, which will cause postpartum hemorrhage to the parturient. In severe cases, it is necessary to remove the uterus to stop bleeding. It may cause intrauterine death or neonatal asphyxia and death.
Q: How to treat and prevent PIH?
typical case
Lily's family is in the countryside, and her husband works in other places. Mother-in-law takes care of her after pregnancy, and she never goes to the hospital. Her mother-in-law said that when they gave birth, they all found a stable woman to deliver the baby at home. Don't listen to the doctor's scary words. When the belly is getting bigger and bigger, Lili feels more and more tired, her feet and legs are swollen badly, and her thighs are gradually swollen. My mother-in-law said it was all like this. Why are you still so delicate when you are pregnant? Every day is a common occurrence, and there is no special nutrition supplement for Lili. Suddenly one day, Lili was dizzy and couldn't see clearly, and she kept vomiting. Now my mother-in-law is in a hurry, and she quickly sends Lili to the town health center. After examination, the doctor said that she was very ill and transferred to a big hospital in the city. Doctors in a large hospital diagnosed pregnancy-induced hypertension type II, which damaged the fundus and affected vision. My mother-in-law is very sorry. Fortunately, the doctor said that if the blood pressure is well controlled, the baby's vision will gradually recover after birth. The doctor gave oral medicine and infusion. Later, Lili gave birth to a boy safely, and the whole family was very happy.
Expert guidance
Pregnancy induced hypertension (PIH) can be prevented. First of all, you must have regular check-ups during pregnancy to understand the relevant knowledge of PIH, and it is best to actively participate in your mother's class. Then there is nutrition during pregnancy, and reasonable diet and rest can effectively prevent pregnancy-induced hypertension. Pregnant women should eat more foods rich in protein, vitamins and various trace elements, fresh fruits and vegetables, reduce the intake of animal fat and excessive salt, eat more eggs, lean meat and fish, keep enough rest and happy mood, and try to stay on the left side. In addition, it is very useful to supplement calcium 1 ~ 2g every day to prevent hypertensive disorder complicating pregnancy, but the calcium intake from food every day is not enough, so you must take calcium tablets orally according to the doctor's advice from the third month of pregnancy.
Don't worry if you are diagnosed with pregnancy-induced hypertension. Mild can rest at home to adjust diet, ensure adequate sleep and left lateral position. Pregnant women with systemic edema should appropriately limit the intake of salt, and families with conditions can take oxygen, and then appropriately increase the frequency of prenatal examination and monitor more. If it is already moderate, then only hospitalization, it is definitely right to listen to the doctor, take medicine when necessary, and infusion when necessary.
Expert summary
With regard to the three questions and three answers about pregnancy-induced hypertension, I believe pregnant mothers have learned a lot about this common complication during pregnancy, do a good job of examination in time, do a good job of prevention, and go to the hospital if they feel abnormal. I believe everyone will stay away from pregnancy-induced hypertension, even if they have pregnancy-induced hypertension, they can get through it smoothly.
Mami stock
Lily, she is 37 weeks pregnant.
Blood pressure was found to be high at 30 weeks of pregnancy. According to the doctor's advice, I take time off from work to rest at home, eat more eggs and fish every day to strengthen nutrition, increase the dose of calcium tablets, sleep in the left lateral position, and then go to the hospital to check my blood pressure every week. Now my blood pressure has returned to normal. The doctor said that the fetus is developing well, and I believe I can have a lovely baby smoothly.
Xiao Nan, the baby is half a year old.
I don't often go to check-ups when I am pregnant. Suddenly fell to the ground at 35 weeks of pregnancy and was rushed to the city hospital by his family. The doctor diagnosed hypertension during pregnancy. After a day and a night of rescue and stability, the doctor gave birth to my son by caesarean section. Although he was born prematurely and experienced his mother's cramp, his son was born well and returned to me after staying in the incubator for a few days. After the operation, I continued my treatment and took antihypertensive drugs for a while after discharge. When I went to check up 42 days after delivery, my blood pressure had dropped to normal. Now my son and I are very healthy, thanks to the doctor for saving us, and also remind everyone to do a prenatal examination seriously when pregnant.
Really, the baby is one and a half years old.
She was diagnosed with pregnancy-induced hypertension at the 25th week of pregnancy. Because of her older age and early onset, it was not effective to control at home for a period of time, and she was hospitalized at the request of a doctor at the 32nd week of pregnancy. The doctor said that the disease was related to pregnancy. As long as the baby is not born and my blood pressure can only be controlled but can't be cured, I will stay in the hospital for labor. At 36 weeks, my blood pressure rose further, and I couldn't control it by taking medicine and injection, so at 37 weeks, the doctor gave me a cesarean section and took the baby out. This is a healthy daughter. After the baby was born, my blood pressure gradually dropped. Now our family is very happy. I am very grateful to the doctor for his meticulous care and timely help me take my baby out during my pregnancy-induced hypertension. Everyone must trust the doctor.