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Saturday, March 27, 2021

How To Treat Gestational Hypertension

Gestational hypertension can develop into preeclampsia. 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.


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The only cure for pre-eclampsia is delivery of the baby so if you are diagnosed early in your pregnancy this can be a very difficult complication to manage.

How to treat gestational hypertension. Women with gestational hypertension or pre-eclampsia are usually able to stop all antihypertensives within six. And it can be dangerous for your baby. Base the choice on side-effect profiles risk including fetal effects and the womans preferences.

It is typically diagnosed after 20 weeks of pregnancy or close to delivery. 145 Consider labetalol to treat gestational hypertension. The use of pharmaceutical drugs to treat gestational high blood pressure has been shown to stop the progression of high blood pressure in pregnancy to severe hypertension as well as stopping mother related complications such as heart failure and stoke.

This condition occurs often in young women with a first pregnancy. Hospitalization as specialized personnel and equipment may be necessary Magnesium sulfate or other antihypertensive medications for gestational hypertension Fetal monitoring to check the health of the fetus which may include. No one knows exactly why it happens but it is thought to start with improper development of the vessels in the placenta.

Consider nifedipine 3 for women in whom labetalol is not suitable and methyldopa if labetalol or nifedipine 3 are not suitable. Dont stop taking the medication or adjust the dose on your own. Try drinking eight glasses of water.

Some ways you can help prevent gestational hypertension include the following. 2010 amended 2019 Diabetes. Gestational Hypertension Gestational hypertension is defined as a systolic blood pressure 140 mm Hg or more or a diastolic blood pres-sure of 90 mm Hg or more or both on two occasions at least 4 hours apart after 20 weeks of gestation in a woman with a previously normal blood pressure 21.

If gestational hypertension is severe or a woman develops preeclampsia or eclampsia a doctor may prescribe medications to lower her blood pressure and help. High blood pressure medications have been used to treat pregnancy induced hypertension. Approximately 50 of women diagnosed with gestational hypertension between 24 and 35 weeks gestation ultimately develop preeclampsia11 Management of gestational hypertension.

Now primary treatments for gestational hypertension include medications and prenatal monitoring. Gestational hypertension or pre-eclampsia. For women 37 weeks gestation induction should be considered.

For mild hypertension with the fully developed baby follow the below said suggestions. Severe hypertension BP 160110 mmHg requires admission for antihypertensive therapy. How are gestational hypertension and pre-eclampsia treated.

Always prefer to lie on the left side to keep baby weight off from your major blood vessels. How to treat gestational hypertension. Medications Drug therapy is an effective proven way to moderate blood pressure during pregnancy though care must be used in selecting and administering drugs.

Take the medication exactly as prescribed. This condition happens when you only have high blood pressure during pregnancy and do not have protein in your urine or other heart or kidney problems. Reduce your sodium salt consumption.

See the NICE guideline on antenatal care. Gestational hypertension is considered severe when the. The most common cause of postpartum hypertension is high blood pressure from gestational hypertension or pre-eclampsia that persists after delivery Suggested first line antihypertensive drugs that are safe in breastfeeding mothers include labetalol nifedipine and enalapril.

Bedrest either at home or in the hospital may be recommended. Our first line agent is atenolol plus nifedipine or an ACE inhibitor if another agent is required. Use salt as needed for taste Drink at least 8 glasses of water a day Increase the amount of protein you take in and decrease the number of fried foods and junk food you eat.

It is more common in twin pregnancies in women over the age of 35 in women with chronic hypertension or who had hypertension in a previous pregnancy in African-American women and in women with diabetes. Gestational hypertension usually goes away after you give birth. Delivery is recommended in women who are diagnosed with gestational hypertension or preeclampsia of any severity at 37 weeks gestation or later.

Treatment for gestational hypertension may include. Give the same advice on rest exercise and work to women with chronic hypertension or at risk of hypertensive disorders during pregnancy as healthy pregnant women. Methyldopa should be avoided post partum because of the risk of postnatal depression.

Mild hypertension is managed with lifestyle modification and antihypertensive therapy.


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