High Blood Pressure And Pregnancy Risks – March 15, 2018 – Women who are diagnosed with preeclampsia during pregnancy are more likely to develop high blood pressure, diabetes or high cholesterol within five years compared to women who don’t have it. preeclampsia, in research presented at the American College of Cardiology’s 67th Annual Scientific Session.
The study is one of the first to follow the results following the diagnosis of preeclampsia and supports the evidence that preeclampsia contributes to the risk of heart failure before pregnancy. The study, which followed the women for five years, also found that fewer women received medical care to prevent heart problems after preeclampsia.
High Blood Pressure And Pregnancy Risks
Preeclampsia is a dangerous condition in which a pregnant woman causes high blood pressure and protein in the urine. Childbirth is the only known cure. Symptoms resolve within six weeks after birth, contributing to the perception among caregivers and patients that additional medical care is not necessary.
High Blood Pressure
However, previous studies have found that women with preeclampsia during pregnancy face a significantly higher risk of heart disease, stroke and heart failure later in life. These new findings indicate that signs of heart disease risk may appear in the first few years after a woman has preeclampsia.
“As providers, we’re missing the boat if we don’t follow these patients closely and their cardiovascular risk factors,” says Karlee Hoffman, DO, an associate professor of cardiovascular disease. at Allegheny Health Network and study leader said. “Women are very motivated to take care of themselves during pregnancy and after giving birth to their children, so it is a great time to educate them about long-term heart risks and be able to contribute to healthy lifestyle changes. “
Preeclampsia occurs in up to seven percent of all pregnancies. However, it seems to be increasing, which may be due to the increase in the number of women getting pregnant after the age of 35.
Researchers analyzed the medical records of more than 650 women treated at Allegheny Health Network between 2009 and 2015. Half were diagnosed with preeclampsia and half were women of similar age and ethnicity who were -no diagnosis of preeclampsia (control). Five years of health care information is available for more than 250 of the women diagnosed with preeclampsia.
Blood Pressure Patterns In Early Pregnancy Tied To Later Risk Of Pregnancy Related Hypertension Complications
Around the time of delivery, people with preeclampsia have a higher rate of obesity, premature delivery, low birth weight babies and complications during delivery. Over the next five years, people with preeclampsia may develop high blood pressure (which occurred in 32.8 percent of women with preeclampsia and 0.3 percent of controls), new-onset diabetes (which occurred in 21 percent of women with preeclampsia and zero). among controls) and high cholesterol (so that 3 percent of women have preeclampsia and zero among controls).
Among those who had a follow-up with a primary care physician after a diagnosis of preeclampsia, only one patient chart reported that the physician was aware of the diagnosis of preeclampsia and reported long follow-up about heart disease.
“The incidence of preeclampsia is very high and therefore there is a risk of getting a subsequent diagnosis of these cardiovascular risk factors,” Hoffman said. “We need to work with our obstetrics and gynecology colleagues to catch these patients and refer them to a primary care physician or cardiologist for more intensive care to help prevent cardiovascular disease. “the future.”
“The results also show that African-American women, women who are older during pregnancy and women with a history of high blood pressure or diabetes face a higher risk of developing high blood pressure. followed by preeclampsia, suggesting that women with these risks should receive more intensive medical care,” Hoffman said.
Hypertension In Pregnancy
Although the exact cause is not known, it is thought that oxidative stress, which results from having too much unstable oxygen in the body, may play a role in cardiovascular effects and – after preeclampsia. Oxidative stress has been linked to physiological changes that contribute to coronary artery disease. To further clarify the link between preeclampsia and heart disease, researchers are planning a study that will use echocardiography and an invisible pulse to monitor heart health after preeclampsia.
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Preeclampsia: Signs, Symptoms And Treatment
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June 1, 2023 — The American College of Cardiology will host the annual Care of the Athletic Heart course on June 8-10 …Preeclampsia in pregnancy is a condition characterized by high blood pressure and high protein in the urine during pregnancy. is immediately after. delivery. It usually develops after 20 weeks of pregnancy. Sometimes, preeclampsia can develop within the first six weeks of giving birth. Early-onset preeclampsia can occur before 34 weeks of pregnancy and usually has severe symptoms.
Preeclampsia can occur in pregnant women with chronic high blood pressure or pre-existing high blood pressure. The US Centers for Disease Control and Prevention (CDC) reports that the condition affects one in 25 women (1). This problem affects the woman’s body and puts the health of the unborn child at risk.
High blood pressure alone cannot suggest preeclampsia, it can indicate other problems. The combination of these symptoms indicates the presence of preeclampsia. Expectant mothers often do not notice these symptoms and are often diagnosed during medical check-ups and regular (prenatal) health care visits.
Fact Box On Immediate Induction Of Labor For Hypertensive Disorders (high Blood Pressure) During Pregnancy
It is recommended that you contact your doctor immediately if you notice any of these symptoms instead of waiting for another prenatal visit.
The exact cause of preeclampsia is not known in most cases. However, placental disorders are often associated with the development of preeclampsia in many women. This may also be due to poor development of placental blood vessels in women with preeclampsia during early pregnancy (3).
Pregnant women with uncontrolled preeclampsia are at high risk of complications. Some of the problems are medical emergencies since, if left untreated, it can be life-threatening for both the mother and the unborn child. In fact, the Centers for Disease Control and Prevention revealed about 0.9 deaths in 100,000 live births due to eclampsia and preeclampsia. You may need emergency medical care if you find any complications of preeclampsia at any time during pregnancy.
The degree and risk of preeclampsia can be high if it occurs in early pregnancy. In some cases, it is recommended to be delivered early by cesarean section (section C) to avoid serious complications of childbirth.
Impact Of The 2017 Acc/aha Guideline For High Blood Pressure On Evaluating Gestational Hypertension–associated Risks For Newborns And Mothers
There is no clear way to prevent preeclampsia. However, trying to stay healthy, such as maintaining a healthy weight, and managing chronic conditions, such as high blood pressure or diabetes, can help reduce the risk of preeclampsia, especially if you have it first. Seeking regular prenatal care can help reduce complications if you are pregnant.
Restricting calories, reducing salt intake, and eating fish oil or garlic have not been scientifically proven to prevent preeclampsia. Vitamin C and E intake has not been shown to have many benefits in preventing preeclampsia. Although some studies show that vitamin D is useful in reducing the risk of preeclampsia, others do not establish the connection. So you can talk to your doctor before taking any medicine or supplement.
Some studies have found that for women with high blood pressure, adequate rest at all times, with or without nutritional supplements, can help prevent preeclampsia. However, further research is needed to confirm the findings (6).
Blood pressure measurements and urine tests can help diagnose preeclampsia. If the results of these tests indicate the presence of preeclampsia, doctors may order liver and kidney function tests and platelet count through blood tests.
Study Finds High Blood Pressure During Pregnancy Tied To Heart Problems Later
XTests are performed to assess the health status of the fetus, including fetal heart rate, heart rate, and amniotic fluid volume. help determine the health of the unborn child. Prenatal ultrasound can also help detect placental abnormalities and growth restriction due to preeclampsia (5).
The most effective treatment for preeclampsia is delivery. Hospitalization is required for preeclampsia with severe symptoms. Delivery is recommended as soon as possible. However, you can wait for delivery if the situation is stable. Delaying delivery allows corticosteroids to be administered to promote fetal lung maturity.
In addition, mothers can receive antihypertensive drugs to reduce blood pressure and anticonvulsants
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