Why induce with high blood pressure




















Women who develop high blood pressure during pregnancy may have fewer associated complications if obstetricians routinely induce labor once the pregnancy has exceeded 37 weeks gestation, according to Dutch researchers. The findings were published online in The Lancet. They noted that the finding had implications for the U.

The women with singleton pregnancies were recruited at six academic medical centers and 32 nonacademic hospitals from October through March Most lead to very low levels in breast milk, and the amount taken in by babies is very small.

Most medicines are not tested during pregnancy or breastfeeding. Disclaimers or warnings in the manufacturer's information are not because of specific safety concerns or evidence of harm. Find out about specific medicines and pregnancy at the website for Bumps Best use of medicines in pregnancy. Page last reviewed: 20 May Next review due: 20 May High blood pressure hypertension and pregnancy. Your midwife will check your blood pressure at all your antenatal pregnancy appointments.

Your pregnancy appointments It's important that your antenatal team monitors you closely throughout your pregnancy to make sure your high blood pressure is not affecting the growth of your baby and to check for a condition called pre-eclampsia. Things you can try yourself to reduce high blood pressure Keeping active and doing some physical activity each day, such as walking or swimming, can help keep your blood pressure in the normal range.

Pre-eclampsia Pre-eclampsia is a condition that affects some pregnant women, typically after 20 weeks. Labour and birth If you're taking medicine throughout pregnancy to control your blood pressure, keep taking it during labour. After the birth, your blood pressure will be monitored. Check-ups after the birth If you developed hypertension while you were pregnant and you're still taking medicine after the birth, you should be offered an appointment with a doctor 2 weeks after you transfer from hospital care to community midwives, or 2 weeks after the birth if you had a home birth.

This is called postpartum preeclampsia. Preeclampsia also includes signs of damage to some of your organs, such as your liver or kidney. The signs may include protein in the urine and very high blood pressure. Preeclampsia can be serious or even life-threatening for both you and your baby. What causes preeclampsia? The cause of preeclampsia is unknown. Who is at risk for preeclampsia? You are at higher risk of preeclampsia if you Had chronic high blood pressure or chronic kidney disease before pregnancy Had high blood pressure or preeclampsia in a previous pregnancy Have obesity Are over age 40 Are pregnant with more than one baby Are African American Have a family history of preeclampsia Have certain health conditions, such as diabetes , lupus , or thrombophilia a disorder which raises your risk of blood clots Used in vitro fertilization, egg donation, or donor insemination What problems can preeclampsia cause?

Preeclampsia can cause Placental abruption, where the placenta separates from the uterus Poor fetal growth, caused by a lack of nutrients and oxygen Preterm birth A low birth weight baby Stillbirth Damage to your kidneys, liver, brain, and other organ and blood systems A higher risk of heart disease for you Eclampsia, which happens when preeclampsia is severe enough to affect brain function, causing seizures or coma HELLP syndrome, which happens when a woman with preeclampsia or eclampsia has damage to the liver and blood cells.

It is rare, but very serious. What are the symptoms of preeclampsia? Possible symptoms of preeclampsia include High blood pressure Too much protein in your urine called proteinuria Swelling in your face and hands. Your feet may also swell, but many women have swollen feet during pregnancy. So swollen feet by themselves may not be a sign of a problem. How is preeclampsia diagnosed?

What are the treatments for preeclampsia? This has shown that early induction does not increase complications and may reduce them. It will open up the discussions and choices between carers and expectant mothers. Walker said expectant mothers might find it harder to achieve a natural birth.

Janet Pyle, professional policy adviser at the Royal College of Midwives, said: "You have to be conscious of the woman. It is their pregnancy. You cannot just have a blanket policy and say to the woman: 'We think you should be induced at this time'.



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