Teton Obgyn Idaho Falls
  • Home
  • About Us
    • Our Physicians
    • What Our Patients Say
  • Contact
  • Our Services & Treatments
    • Obstetrics
    • Office Gynecology
    • Advanced Gyn Surgery
  • FAQs
    • Pregnancy FAQ
    • Gynecology FAQ
    • Surgery FAQ
  • Blog
  • Patient Resources
  • Home
  • About Us
    • Our Physicians
    • What Our Patients Say
  • Contact
  • Our Services & Treatments
    • Obstetrics
    • Office Gynecology
    • Advanced Gyn Surgery
  • FAQs
    • Pregnancy FAQ
    • Gynecology FAQ
    • Surgery FAQ
  • Blog
  • Patient Resources

Why Does Your OBGYN Get so Worked up about High Blood Pressure in Pregnancy?

11/8/2016

0 Comments

 
From a physician standpoint, explaining the problems of high blood pressure is one of the most frustrating topics to discuss with patients. Often, a woman may not feel sick, and there is also often an element of denial, i.e. “I’m healthy, and I feel OK, so you must be confused.”  This is particularly common in those cases where high blood pressure was likely present even before pregnancy began.  So, here’s a brief overview of why your doctor cares.

First of all, what types of high blood pressure cause problems in pregnancy?  There are 3 main classes of blood pressure in pregnancy.  These are noted as a systolic blood pressure greater than or equal to 140 or a diastolic blood pressure greater than or equal to 90.  The first class is chronic hypertension.  This occurs when elevated blood pressure is present before 20 weeks of pregnancy and is generally unrelated to pregnancy.  This type of elevated blood pressure is usually before pregnancy.  Just because you don’t check your BP outside of pregnancy doesn’t mean it’s not there :)  The next two types are related to pregnancy:  gestational hypertension, which develops after 20 weeks and does not cause spillage of protein in the urine, and preeclampsia, which also occurs after 20 weeks but is associated with proteinuria.

So, what happens if I have chronic hypertension during pregnancy?  There can be actually be some lowering of chronic hypertension during the middle of pregnancy before an increase toward the end of pregnancy; however, the need for good control of your blood pressure is certainly important.  Chronic hypertension places a mother at risk for fetal growth restriction (small baby), development of preeclampsia (just because you have chronic hypertension doesn’t get you off the hook for preeclampsia), placental abruption (early separation of the placenta prior to delivery causing bleeding and risk of fetal loss if not immediately managed), and also increased risk of cesarean section.

What about gestational hypertension or preeclampsia?  These are managed similarly in their mild forms, and gestational hypertension may in fact be a mild form of preeclampsia.  With development of gestational hypertension or mild preeclampsia, this condition must be monitored closely to ensure that severe preeclampsia doesn’t develop.  In addition to the risks noted with chronic hypertension, women with preeclampsia are at risk for need for preterm delivery, maternal kidney or liver dysfunction, hemorrhage and even seizures.  With severe preeclampsia, women may even be at risk for maternal death.  After pregnancy, women with a history of preeclampsia have an increased risk for development of cardiovascular disease such as stroke, heart attack, elevated blood pressure and kidney dysfunction.  They are also at risk for having preeclampsia again in a future pregnancy.

What happens to my baby if I have preeclampsia?  Additional monitoring is required to monitor for development of severe preeclampsia.  If you do develop severe preeclampsia, then your baby will likely have to be delivered early.  Risks associated with preterm delivery may include respiratory distress, cerebral palsy, need for NICU stay, feeding issues or even loss of the baby in some cases; however, as bad as those risks sound, there may be a point in pregnancy where these risks are less than those associated with continuing the pregnancy.

How is elevated blood pressure treated in pregnancy?  You may require medication to bring down your blood pressure, lab monitoring to check for development of severe preeclampsia, monitoring to check for fetal distress or even early delivery (with or without administration of steroids and/or magnesium prior to delivery).  Magnesium may also be required to help prevent seizures associated with severe preeclampsia.

Are there risk factors for preeclampsia?  First pregnancies, history of preeclampsia in other pregnancies, personal history of chronic hypertension or kidney disease, age 40 or older, carrying more than one baby, personal history of diabetes, clotting disorder or lupus, maternal obesity and pregnancy via in vitro fertilization.

Can I prevent preeclampsia?  The best way to prevent preeclampsia is to ensure that you are as healthy as possible prior to beginning the pregnancy.  If you are obese, weight loss may help reduce your risks.  For chronic hypertension or diabetes, ensure that these are well-controlled prior to conceiving.  If you have had a history of delivery prior to 34 weeks due to preeclampsia, your doctor may start you on a daily baby aspirin.

So, even though you might not feel miserable due to your high blood pressure, it is still  very important to maintain good control in order to have the healthiest pregnancy outcome possible.  If you have any of the risk factors listed above, be sure to talk to your provider about how to minimize your risks in your current (or future) pregnancies :)

Nick
0 Comments

Your comment will be posted after it is approved.


Leave a Reply.

    Call Us

    Teton Women's 

    We address the topics you need to know about regarding pregnancy and women's health issues.

    Archives

    March 2022
    February 2022
    January 2022
    December 2021
    November 2021
    June 2021
    May 2021
    April 2021
    March 2021
    February 2021
    January 2021
    October 2020
    September 2020
    August 2020
    July 2020
    June 2020
    May 2020
    April 2020
    March 2020
    February 2020
    January 2020
    December 2019
    November 2019
    October 2019
    September 2019
    August 2019
    July 2019
    June 2019
    May 2019
    April 2019
    March 2019
    February 2019
    January 2019
    December 2018
    November 2018
    October 2018
    September 2018
    August 2018
    July 2018
    June 2018
    May 2018
    April 2018
    March 2018
    February 2018
    January 2018
    December 2017
    November 2017
    October 2017
    September 2017
    August 2017
    July 2017
    June 2017
    May 2017
    April 2017
    March 2017
    February 2017
    January 2017
    December 2016
    November 2016
    October 2016
    September 2016
    August 2016
    July 2016
    June 2016
    May 2016
    April 2016
    March 2016

    Categories

    All
    Babies
    Breast Feeding
    Contraception
    Cord Blood Banking
    Delayed Cord Clamping
    Diet And Exercise
    Diet And Exercise In Pregnancy
    First Trimester
    Genetic Screening
    Guest Blogs
    Gynecologic Surgery
    Health And Fitness
    Hormones
    Induction Of Labor
    Infertility
    Just For Fun
    Menopause
    Overview Of Pregnancy
    Ovulation Prediction
    Pain Management In Labor
    Pap Smear
    Postpartum Depression
    Pregnancy Planning
    Second Trimester
    Sexual Health
    Sleep
    Vaginal Discharge
    Women's Health
    Zika Virus

    RSS Feed

Location

GET DIRECTIONS!
Teton Women's Health Center

2001 S Woodruff Ave #10
Idaho Falls, ID 83404









​Sitemap

Contact Us

Tel: 208-523-2060
​Fax: 208-523-9874

Office Hours

Mon - Thurs: 8:00 am - 12:00 pm & 1:00 pm - 5:00 pm
Fri - 8:00 am - 12:00 pm

Be sure to follow us on social media for the latest updates at Teton Women's Health Center!

**While we are excited to answer your questions, please be aware that the links below are not intended to provide urgent or emergent medical advice.  Thank you!