- If you have had blood pressure before pregnancy, you may need to change your medication after pregnancy, so you should definitely ask both the doctor monitoring your blood pressure and the doctor monitoring your pregnancy whether the medication you are using is suitable for pregnancy. Significant changes occur in the cardiovascular system to ensure healthy development.
- During pregnancy, diastolic blood pressure decreases slightly in the first trimester of pregnancy and rises to its normal level in the following weeks, while systolic blood pressure remains unchanged. Therefore, increased blood pressure during pregnancy may be an important symptom of the conditions known as pregnancy poisoning.
- Expectant mothers should definitely buy a blood pressure monitor that they can use at home and monitor their blood pressure regularly, especially after the 20th week of pregnancy. >
- The expectant mother should rest for at least 15 minutes before blood pressure measurement. In some expectant mothers and pregnant women, the fatigue that occurs until they come to the clinic or the excitement that arises due to "seeing someone in a white coat" may cause blood pressure to rise. Therefore, after expecting mothers and pregnant women come to the clinic, they are waited until they rest and get used to the environment. The ideal measurement is made on the right arm using a cuff suitable for the arm thickness of the expectant mother. Measurement is done in a sitting or lying position.
- High blood pressure during pregnancy is on average 1 or 2 in 10 pregnancies.
- Hypertension during pregnancy means blood pressure measurement is 14/9, that is, 140/140/9. It is above 90 mmHg.
- “Hypertension during Pregnancy” is a very important problem as it is one of the most important causes of maternal and fetal diseases and deaths. For example, if the pregnant woman has high blood pressure, this may cause insufficient blood flow to the placenta. It means that the baby receives the oxygen and nutrients it needs in low amounts. This condition may slow down the growth of the baby.
- Gestational hypertension may occur in first pregnancies, in those with a history of preeclampsia in a previous pregnancy, in those with a history of hypertension before pregnancy, in pregnant women over 35 years of age, in cases of multiple pregnancy, in patients with diabetes (diabetes mellitus) or kidney disease. In cases of "hypertension" and "protein loss in the urine", in obese pregnant women, collagen The risk of occurrence increases in pregnant women with tissue diseases, antiphospholipid syndrome, and immune system disorders. Harms such as retardation in the baby's development, premature birth, early separation of the tissue called "placenta", also known as the "partner" that provides the vital connection between the mother and the baby, sudden kidney failure, and hypertension crisis may occur.
Preeclampsia (Pregnancy Poisoning)
- Especially occurs after the 20th week of pregnancy, when blood pressure is over 140/90 mmHg and protein excretion in urine is 300 mg/dl in 24 hours. It is characterized by a condition in which there is more than The reason for the high blood pressure seen in preeclampsia is to increase the blood flow to the baby, so lowering the blood pressure below a certain level may harm the baby by reducing the uteroplacental blood flow.
- Usually, the clinic improves quickly in the postpartum period and blood pressure levels return to normal.
- Patients with mild preeclampsia are tried to be controlled by blood pressure monitoring and strict ultrasound monitoring, but if the blood pressure is above 160/110 mmHg and proteinuria is above 2 g/dl in 24 hours, severe preeclampsia is said to be present, and initiating labor is the correct approach, regardless of the gestational week.
- If preeclampsia is not controlled, it can turn into more severe forms with increased liver enzymes, changes in blood table and epilepsy attacks.
- One of the most important points to be considered during pregnancy is more than 2 kilos gained per week. Weight gain may be a sign of "Preeclampsia". Complaints of decreased or absent urine output, bloody urination, nausea, vomiting, pain in the upper abdomen, and bloody vomiting may be observed. Headache, dizziness, ringing in the ears, dullness and changes in consciousness are findings that can be seen in severe preeclampsia and indicate a high risk of eclampsia. Complaints such as darkening in the eyes, flying flies or flashes of light are also warning signs of preeclampsia.
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