(O10.1) Pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium

Pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium is a type of cardiovascular disease that occurs when a woman with pre-existing hypertension experiences an increase in blood pressure during pregnancy, childbirth, or the postpartum period. this can cause the heart to work harder to pump blood, leading to increased strain on the heart and potentially causing complications such as heart failure or cardiac arrest.

The pathogenesis of pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium is likely due to the increased demands on the cardiovascular system during pregnancy, labor and delivery. the increase in blood volume, cardiac output, and systemic vascular resistance can lead to an increased strain on the heart, leading to an exacerbation of the pre-existing hypertensive heart disease and potentially resulting in adverse outcomes such as stroke, pulmonary edema, and heart failure.

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Main Goal of Treatment: To reduce the risk of complications associated with pre-existing hypertensive heart disease during pregnancy, childbirth and the puerperium.

• Monitoring blood pressure regularly throughout pregnancy
• Providing dietary and lifestyle advice to reduce risk factors
• Prescribing medications to lower blood pressure, as needed
• Monitoring fetal growth and development
• Monitoring for signs of preeclampsia
• Performing regular ultrasounds to check fetal well-being
• Performing regular fetal heart rate monitoring
• Performing regular non-stress tests
• Performing regular blood tests to check for signs of infection
• Performing regular urine tests to check for signs of infection
• Prescribing medications to reduce risk of infection
• Administering magnesium sulfate to reduce risk of seizures
• Performing regular fetal monitoring during labor and delivery
• Performing cesarean section delivery, as needed
• Administering medications to reduce risk of postpartum hemorrhage
• Monitoring for signs of postpartum depression

In order to prevent pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium, pregnant women should be regularly monitored by their healthcare provider and should maintain a healthy lifestyle, including a balanced diet and regular exercise. additionally, pregnant women should avoid smoking and excessive alcohol consumption.