Can You Have Preeclampsia With Low Blood Pressure

How Do You Know If You Have Preeclampsia If You Are Taking Bp Medication

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If You Have Preeclampsia Can You Have A Vaginal Birth

Yes. If you have preeclampsia, a vaginal birth may be better than a cesarean birth . A c-section is surgery in which your baby is born through a cut that your doctor makes in your belly and uterus. With vaginal birth, there’s no stress from surgery. For most women with preeclampsia, its safe have an epidural to manage labor pain as long as your blood clots normally. An epidural is pain medicine you get through a tube in your lower back that helps numb your lower body during labor. It’s the most common kind of pain relief during labor.

Are You At Risk For Preeclampsia

We dont know for sure what causes preeclampsia, but there are some things that may make you more likely than other women to have it. These are called risk factors. If you have even one risk factor for preeclampsia, tell your provider.

You’re at high risk for preeclampsia if:

• You’ve had preeclampsia in a previous pregnancy. The earlier in pregnancy you had preeclampsia, the higher your risk is to have it again in another pregnancy. Youre also at higher risk if you had preeclampsia along with other pregnancy complications.

• Youre older than 35.
• Youre African-American. African-American women are at higher risk for preeclampsia than other women.
• You have low socioeconomic status . SES is a combination of things, like a persons education level, job and income . A person with low SES may have little education, may not have a job that pays well and may have little income or savings.

If your provider thinks youre at risk of having preeclampsia, he may want to treat you with low-dose aspirin to help prevent it. Talk to your provider to see if treatment with low-dose aspirin is right for you.

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Does Preeclampsia Go Away After Delivery

Preeclampsia typically goes away within days to weeks following delivery. Sometimes, your blood pressure can remain high for a few weeks after delivery, requiring treatment with medication. Your healthcare provider will work with you after your pregnancy to manage your blood pressure. People with preeclampsia â particularly those who develop the condition early in pregnancy â are at greater risk for high blood pressure and heart disease later in life. Knowing this information, those women can work with their primary care provider to take steps to reduce these risks.

How Do I Know I Have Preeclampsia

Although not all women with preeclampsia have symptoms, there are some things you can look out for on your own that might point to the condition. Symptoms can include a headache that’s not relieved by medication, vision changes, pain in your upper abdomen and swelling of your hands and feet, says Dr. Taylor.

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What Should I Do If I Have High Blood Pressure Before During Or After Pregnancy

Before Pregnancy

• Make a plan for pregnancy and talk with your doctor or health care team about the following:
• Any health problems you have or had and any medicines you are taking. If you are planning to become pregnant, talk to your doctor.7 Your doctor or health care team can help you find medicines that are safe to take during pregnancy.
• Ways to keep a healthy weight through healthy eating and regular physical activity.1,7

During Pregnancy

• Get early and regular prenatal careexternal icon. Go to every appointment with your doctor or health care professional.
• Talk to your doctor about any medicines you take and which ones are safe. Do not stop or start taking any type of medicine, including over-the-counter medicines, without first talking with your doctor.7
• Keep track of your blood pressure at home with a home blood pressure monitorexternal icon. Contact your doctor if your blood pressure is higher than usual or if you have symptoms of preeclampsia. Talk to your doctor or insurance company about getting a home monitor.
• Continue to choose healthy foods and keep a healthy weight.8

After Pregnancy

• Pay attention to how you feel after you give birth. If you had high blood pressure during pregnancy, you have a higher risk for stroke and other problems after delivery. Tell your doctor or call 9-1-1 right away if you have symptoms of preeclampsia after delivery. You might need emergency medical care.9,10

Shortness Of Breath Anxiety

Shortness of breath, a racing pulse, mental confusion, a heightened sense of anxiety, and a sense of impending doom can be symptoms of preeclampsia. If these symptoms are new to you, they could indicate an elevated blood pressure, or more rarely, fluid collecting in your lungs .

What you can do…

Contact your healthcare provider immediately if these symptoms are new. If you’ve experienced these conditions before pregnancy, be sure to mention them to your care provider during your next visit so they can be monitored closely.

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Controlling Blood Pressure At Home

If you have mild preeclampsia , your doctor may allow you to rest at home. Youll want to keep a close watch on your preeclampsia symptoms. Examples of steps you could take in an attempt to keep your blood pressure low and minimize side effects include:

• drinking plenty of water throughout the day
• increasing the amount of protein in your diet, if your diet has previously lacked enough protein
• resting on the left side of your body to reduce pressure to major blood vessels

Keep in mind that taking these steps may not effectively prevent your preeclampsia from worsening. Your doctor will likely recommend you come to their office regularly for checkups to test your babys health.

What Are The Signs And Symptoms Of Preeclampsia

Signs of a condition are things someone else can see or know about you, like you have a rash or youre coughing. Symptoms are things you feel yourself that others cant see, like having a sore throat or feeling dizzy.

Signs and symptoms of preeclampsia include:

• Changes in vision, like blurriness, flashing lights, seeing spots or being sensitive to light
• Headache that doesn’t go away
• Nausea , vomiting or dizziness
• Pain in the upper right belly area or in the shoulder
• Sudden weight gain
• Swelling in the legs, hands or face
• Trouble breathing

Many of these signs and symptoms are common discomforts of pregnancy. If you have even one sign or symptom, call your health care provider right away.

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Can You Have Mild Preeclampsia

Mild preeclampsia: high blood pressure, water retention, and protein in the urine. Severe preeclampsia: headaches, blurred vision, inability to tolerate bright light, fatigue, nausea/vomiting, urinating small amounts, pain in the upper right abdomen, shortness of breath, and tendency to bruise easily.

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How Does Hellp Syndrome Affect My Baby

The effects of HELLP syndrome on your baby can vary depending on your baby’s gestational age, his/her weight at delivery, and any complications that may arise from their early delivery. If a baby weights over 1000 grams at birth, his or her survival rate and length of hospital stay is similar to non-HELLP babies of comparable size. There do not seem to be too many long-term adverse outcomes.

If the baby weighs less than 1000 grams at birth, the news is not as good. Severe studies have suggested that these babies require longer hospital stays and more chance of needing ventilator care. Unfortunately, right now health care providers cannot predict the scope of medical problems these babies may encounter at birth and later in life due to their premature delivery.

If a baby weighs at least 2 pounds at birth, he or she has the same survival rate and health outcome of non-HELLP babies of the same size.

In developed countries, the stillbirth rate with HELLP syndrome is 51 out of every 1,000 pregnancies, which is higher than rates among patients with severe preeclampsia and eclampsia. Overall, infant death from HELLP syndrome ranges from 7.7 to 60%. Most of these deaths are attributed to complications from HELLP syndrome, including the abruption of the placenta , placental failure with intrauterine asphyxia , and extreme prematurity.

Does Preeclampsia Show Up In Blood Work

A woman who has preeclampsia may have specific blood tests to help assess her health. Uric acid. Increased uric acid in the blood is often the earliest laboratory finding related to preeclampsia. Uric acid is a waste product formed from the breakdown of some protein-rich foods and the breakdown of cells in the body.

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How Can I Prevent Preeclampsia:

The exact cause of preeclampsia is not known. Its thought to be improper functioning of the placenta including insufficient blood flow to the placenta. Other factors that may increase risk include: high fat and poor nutrition immune function disorders genetic issues or a family history.

Currently, there is no sure way to prevent preeclampsia. Some contributing factors to high blood pressure can be controlled and some cant. Follow your doctors instruction about diet and exercise.

• Use little or no added salt in your meals
• Drink 6-8 glasses of water a day
• Avoid fried foods and junk food
• Get enough rest
• Your doctor may suggest you take the prescribed medicine and additional supplements

What Are The Causes Of Preeclampsia

According to the Mayo Clinic, the exact cause of preeclampsia involves several factors. Experts believe it begins in the placenta the organ that nourishes the fetus throughout pregnancy. Early in pregnancy, new blood vessels develop and evolve to efficiently send blood to the placenta.

In women with preeclampsia, these blood vessels dont seem to develop or function properly. Theyre narrower than normal blood vessels and react differently to hormonal signaling, which limits the amount of blood that can flow through them.

Causes of this abnormal development may include:

• Insufficient blood flow to the uterus
• Damage to the blood vessels
• A problem with the immune system

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Preeclampsia Risk Factors And Symptoms

• Are younger than 25 years old or older than 35 years old
• Have pre-existing high blood pressure, diabetes, lupus, or other autoimmune conditions

The signs that you may be developing preeclampsia are very easy to miss or ignore.

• Severe headache
• Swelling of the hands and feet
• Upper abdominal pain

Low Blood Pressure Complications

While many women who have low blood pressure prior and during pregnancy do not have any related issues, there are some complications to be aware of.

Some symptoms of low blood pressure include:

• Rapid or shallow breathing

One of the most concerning complications is dizziness because it can lead to fainting, falling, and injury, secondary to the fall. Additionally, research has shown a link between low blood pressure and increased symptoms of morning sickness.

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How Preeclampsia Is Treated

Its important to get treated for preeclampsia right away to keep it from progressing to a more serious condition like eclampsia or HELLP syndrome.

While you can keep preeclampsia in check during pregnancy, the “cure” begins with delivering your baby and the placenta. Before then, treatments to manage preeclampsia depend on the severity of the condition.

Who Is At Risk Of Getting Hellp Syndrome

Patients who have preeclampsia or eclampsia are at higher risk of developing HELLP syndrome. However, it is important to note that not all HELLP syndrome patients exhibit the classic signs that typically characterizes the diagnosis of preeclampsia. It can occur more often in patients with a family history of preeclampsia or HELLP syndrome, or a history of certain autoimmune conditions or clotting disorders, as well as in patients with no risk factors.

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Treating High Blood Pressure

Similar to the treatment approaches for hypertension in non-pregnant patients, women who have high blood pressure prior to pregnancy can manage symptoms of hypertension through medication and lifestyle modifications. These are the same treatments used with preeclampsia as well.

Dr. Atlas says most mothers with elevated blood pressure will generally be treated with medications to lower the blood pressure. We use Labetalol and Nifedipine often for patients as they have generally been shown to be safe in pregnancy, he explains.

That said, Dr. Atlas does point out that some people may be on medications prescribed by internists or renal doctors that are not safe to take in pregnancy. “Medications such as ACE and ARB inhibitors can be potentially harmful to the developing fetus,” he explains.

In addition to medication, treating high blood pressure during pregnancy involves:

• Eating a healthy diet rich in fruits, vegetables, lean protein, and complex carbohydrates
• Limiting sodium
• If overweight, limiting weight gain
• Managing stress levels
• Avoiding alcohol
• Quitting smoking

If high blood pressure spikes too high and does not respond to medication and/or lifestyle accommodations, other possible treatments include bed rest and induction of labor. Particularly with preeclampsia, if a woman’s pressure is too high and her baby is viable , inducing labor will be considered.

What Can I Do To Prevent Hellp Syndrome

Unfortunately, there’s currently no way to prevent this illness. The best thing to do is:

• Get yourself in the good physical shape before getting pregnant
• Have regular prenatal visits during pregnancy
• Inform your care providers about any previous high-risk pregnancies or family history of HELLP syndrome, preeclampsia, or other hypertensive disorders
• Understand the warning signs and do not delay reporting them to your healthcare provider, including trusting yourself when “something just doesn’t feel right”
• Talk to your provider about aspirin. Aspirin has been shown to reduce risk of preeclampsia, which in turn may reduce risk of developing HELLP syndrome

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