Pre-existing essential hypertension complicating pregnancy, childbirth and the puerperium - what does this mean
Pre-existing essential hypertension complicating pregnancy, childbirth and the puerperium is a condition where a pregnant woman has high blood pressure prior to pregnancy, and the elevated pressure leads to further complications during pregnancy, childbirth, and the postpartum period. these complications can include pre-eclampsia, eclampsia, placental abruption, and hellp syndrome. these complications can be life-threatening for both the mother and the baby, so it is important for pregnant women with high blood pressure to be monitored closely throughout their pregnancy.
What happens during the disease - pre-existing essential hypertension complicating pregnancy, childbirth and the puerperium
Pre-existing essential hypertension during pregnancy, childbirth and the puerperium is caused by an underlying abnormality in the regulation of the vascular system, resulting in an elevation of blood pressure. this can cause an increase in vascular resistance, leading to an increase in cardiac output and a decrease in systemic vascular resistance. the elevated blood pressure can then lead to complications such as placental abruption, preterm labor, and preeclampsia. in addition, the increased pressure can cause damage to the placenta, leading to fetal growth restriction and preterm delivery.
Treatment and Medical Assistance
Main Goal: To reduce the risk of pregnancy complications and improve the health of mother and baby.
- Monitor and control blood pressure throughout pregnancy.
- Regularly check for proteinuria (protein in urine) to detect any kidney damage.
- Prescribe medications to lower blood pressure, such as ACE inhibitors, angiotensin receptor blockers, calcium channel blockers, and diuretics.
- Provide lifestyle advice such as reducing salt intake, increasing physical activity, and quitting smoking.
- Refer to a specialist if complications arise.
- Encourage the mother to rest during the pregnancy.
- Educate the mother about the risks of pre-eclampsia.
- Monitor the baby's growth and development.
- Provide support and counseling for the mother.
6 Days of Hospitalization Required
Average Time for Outpatient Care Not Established
Pre-existing essential hypertension complicating pregnancy, childbirth and the puerperium - Prevention
The best way to prevent pre-existing essential hypertension complicating pregnancy, childbirth and the puerperium is to ensure that the patient is properly monitored and managed throughout the pregnancy by a healthcare team with expertise in the management of hypertension in pregnancy. this should include regular blood pressure monitoring, appropriate lifestyle modifications, and timely initiation of antihypertensive medications when needed.