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Gestational hypertension or pre-eclampsia
- It occurs when the force of blood against the artery walls is too high, which can strain the heart and damage blood vessels. While some women may already have hypertension before becoming pregnant, others develop it during pregnancy. When this happens, it is classified as gestational hypertension or pre-eclampsia.
www.topdoctors.co.uk/medical-articles/high-blood-pressure-in-pregnancy
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What is high blood pressure in pregnancy?
Can hypertensive disorders complicate pregnancy?
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What is gestational hypertension & preeclampsia?
High blood pressure, or hypertension, does not usually make you feel unwell, but it can sometimes be serious in pregnancy. Your midwife will check your blood pressure at all your antenatal (pregnancy) appointments. If you are pregnant and have a history of high blood pressure, you should be referred to a specialist in hypertension and pregnancy ...
- Pre-Eclampsia
Pre-eclampsia is a condition that affects some pregnant...
- Pre-Eclampsia
Several different hypertensive disorders can complicate pregnancy. The National Institute for Health and Clinical Excellence (NICE) uses the following working definitions. Hypertension: diastolic blood pressure of 90–109 mmHg and/or systolic blood pressure of 140–159 mmHg.
- Recommendations
- Who Is It for?
- Guideline Development Process
This guideline includes new and updated recommendations on: 1. assessing proteinuria 2. managing chronic hypertension in pregnancy and gestational hypertension 3. managing pre-eclampsia, including severe pre-eclampsia in critical care settings 4. treatment during the postnatal period (including breastfeeding) 5. advice and follow-up in community ca...
Healthcare professionalsWomen who develop hypertension during pregnancy, who have hypertension and wish to conceive, and who have had a pregnancy complicated by hypertension, and their relatives and carersHow we develop NICE guidelines This guideline updates and replaces NICE guideline CG107 (August 2010).
- 1.1 Reducing the risk of hypertensive disorders in pregnancy. Symptoms of pre-eclampsia. 1.1.1 Advise pregnant women to see a healthcare professional immediately if they experience symptoms of pre-eclampsia.
- 1.2 Assessment of proteinuria in hypertensive disorders of pregnancy. 1.2.1 Interpret proteinuria measurements for pregnant women in the context of a full clinical review of symptoms, signs and other investigations for pre-eclampsia.
- 1.3 Management of chronic hypertension in pregnancy. Pre-pregnancy advice. 1.3.1 Offer women with chronic hypertension referral to a specialist in hypertensive disorders of pregnancy to discuss the risks and benefits of treatment.
- 1.4 Management of gestational hypertension. Assessment and treatment of gestational hypertension. 1.4.1 In women with gestational hypertension, a full assessment should be carried out in a secondary care setting by a healthcare professional who is trained in the management of hypertensive disorders of pregnancy.
Jul 23, 2022 · High blood pressure during pregnancy poses the following risks: Less blood flow to the placenta. If the placenta doesn't get enough blood, the fetus might receive less oxygen and fewer nutrients. This can lead to slow growth (intrauterine growth restriction), low birth weight or premature birth.
- Sometimes high blood pressure is present before pregnancy. In other cases, high blood pressure develops during pregnancy. 1. Gestational hypertensi...
- High blood pressure during pregnancy poses various risks, including: 1. Decreased blood flow to the placenta. If the placenta doesn't get enough bl...
- Monitoring your blood pressure is an important part of prenatal care. If you have chronic hypertension, your health care provider will consider the...
- Besides high blood pressure, other signs and symptoms of preeclampsia include: 1. Excess protein in your urine (proteinuria) or additional signs of...
- Some blood pressure medications are considered safe to use during pregnancy, but angiotensin-converting enzyme (ACE) inhibitors, angiotensin II rec...
- If you have high blood pressure, schedule a preconception appointment with the health care provider who'll handle your pregnancy. Also meet with ot...
- During pregnancy, you'll see your health care provider often. Your weight and blood pressure will be checked at every visit, and you might need fre...
- Taking good care of yourself is the best way to take care of your baby. For example: 1. Keep your prenatal appointments. Visit your health care pro...
- Your health care provider might suggest inducing labor before your due date to avoid complications. The timing of your induction is based both on h...
- Breast-feeding is encouraged for most women who have high blood pressure, even those who take medication. Discuss medication adjustments you'll nee...
Hypertension in pregnancy. Background information. Definition. Hypertension in pregnancy: What is it? Last revised in May 2022. The National Institute for Health and Care Excellence (NICE) defines the different hypertensive disorders of pregnancy as [NICE, 2019b; NICE, 2019c]:
Hypertension in pregnancy is diagnosed when a pregnant person has a blood pressure reading that is 140/90 or higher on two different occasions. Readings of 140/90 or higher are considered mild high blood pressure; those over 160/110 are considered severe high blood pressure.
