What is Gestational Hypertension?
Some women can develop high blood pressure in the latter half of pregnancy (after 20wks). It is also called pregnancy-induced hypertension. If it is associated with protein in the urine it is called Preeclampsia.
What are the risk factors?
First pregnancy, women who had sisters or moms who had PIH, multiple pregnancies, women who had other medical problems like diabetes, kidney disease, etc.
How is it diagnosed?
If Blood pressure is more than 140/90 in pregnancy with or without leg swelling Gestational hypertension is diagnosed. Urine is checked for the presence of significant protein. Another blood test like liver function test, kidney function tests are done based on the severity of the condition.
How can it affect pregnancy?
It can affect the growth of the baby. The placenta can separate prematurely called placental abruption. Baby might need to be delivered prematurely. Mother can develop fits called eclampsia. It can cause HELLP syndrome which can affect the platelet count, blood clotting mechanism, liver function.
How is it treated?
Blood pressure is controlled with medication. They need close monitoring to avoid complications. It is ideal these women are treated in a hospital where multispecialty care and good neonatal facility is available.
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