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Preeclampsia on top of chronic high blood pressure in Visual Studio .NET
Preeclampsia on top of chronic high blood pressure
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When preeclampsia complicates chronic high blood pressure during a pregnancy, the risks for the mother and the fetus are greater than the risks from either condition alone Determining whether the chronic high blood pressure is getting worse or preeclampsia is beginning may be difficult, but a number of signs point to the onset of preeclampsia The most useful of these signs are Protein in the urine when previous tests showed none A sudden increase in protein in the urine
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Part IV: Taking Care of Special Populations
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A sudden increase in high blood pressure that has previously been controlled A platelet count in the blood of less than 1 hundred thousand per cubic millimeter, which means a tendency to bleed easily Abnormal liver function The treatment of preeclampsia in association with chronic high blood pressure must be even more attentive than the treatment of preeclampsia alone The decision to end such a pregnancy is made even earlier than when high blood pressure isn t a complication
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Gestational high blood pressure
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Gestational high blood pressure (associated with a pregnancy) is transient high blood pressure when: No preeclampsia is associated with the pregnant woman s high blood pressure The high blood pressure disappears 12 weeks after delivery Transient high blood pressure is usually found after the middle of the pregnancy but without protein in the urine or any of the other signs or symptoms of preeclampsia This condition isn t treated during pregnancy because it seems to cause no setback for mother or fetus This form of high blood pressure usually disappears a few days after delivery, but it s not entirely benign It tends to reoccur in future pregnancies (again not causing any problem) and seems to be a marker for essential high blood pressure (high blood pressure for which the cause is unknown) some years later
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Dealing with High Blood Pressure after Delivery
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If the mother has chronic high blood pressure, she can take three drugs to manage her high blood pressure while she breast-feeds: methyldopa, timolol, and nifedipine (check these out in 13) Although all three are excreted in breast milk, studies show that these meds do not hurt the baby in any way If you re breast-feeding, ask your doctor about the possibility of withholding blood pressure medications As long as you re carefully monitored for elevations in blood pressure, this is a safe option
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16: Treating High Blood Pressure in Women
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Following delivery, the mother can safely add some of the useful techniques for lowering blood pressure that I discuss in Part III In particular, a combination of salt reduction, weight loss, and exercise can speed up recovery from the stress of pregnancy and help to reduce blood pressure without the use of drugs
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Women take estrogen and progesterone for two major indications: to prevent conception before menopause and to replace missing hormones after menopause Although earlier formulations were associated with increases in blood pressure, the current treatments are only occasionally associated with an increase in blood pressure The following sections guide you through hormone use that avoids the occurrence of high blood pressure
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Hormones for oral contraception
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Just exactly how the oral contraceptives raise blood pressure is unknown No particular factor (like weight, age, or ethnic origin) seems to predict who will have an increase in blood pressure and to what extent In the past, most women who took oral contraceptives had a rise in blood pressure that was usually mild, rarely severe The newer preparations of oral contraceptives contain much smaller doses of both estrogen and progesterone Today the increase in blood pressure is less frequent, probably a result of the reduced dosage Women who smoke and are over age 35 are more sensitive to oral contraceptives and shouldn t take them Although the rise in blood pressure doesn t damage most of these women, occasionally the kidneys are damaged If concern exists about blood pressure, then the woman should discontinue the oral contraceptive, which will cause a prompt fall in her blood pressure If you plan to take oral contraceptives, you must stop smoking (a good idea even if you don t plan to take them!) Make sure your blood pressure is measured before you start the contraceptives and every six months while you take them If you have a blood pressure increase of 20 mm Hg systolic or 10 mm Hg diastolic, replace the oral contraceptive with a different form of contraception Doctors don t usually prescribe drugs for increased blood pressure when oral contraceptives appear to be the source of the increase, but occasionally no other form of contraception is possible In these cases, the usual treatment is lifestyle modification and, if necessary, drugs to lower blood pressure See 13
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