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Treatment Options For High Blood Pressure In Pregnancy

It is important to keep blood pressure down during pregnancy because of the potential complications for both mom and baby. There are several ways to reduce blood pressure during pregnancy including:

  • Attend all prenatal checkups
  • Take medication regularly, if prescribed
  • Eat a healthy diet
  • Exercise regularly
  • Avoid smoking, drinking and substance abuse

Stress can also be a factor on the body during pregnancy so it is important to avoid stressful situations, if possible, and be sure to get enough rest. Breathing exercises, prenatal yoga, baths and prenatal massages are all ways to help beat stress and take care of the body while pregnant.

How Is High Blood Pressure During Pregnancy Diagnosed

No one test diagnoses high blood pressure while pregnant. Instead, your doctor will take your blood pressure at each of your prenatal appointments. He or she will keep track of your blood pressure readings during your pregnancy and be able to spot any changes that could indicate an overall problem. He or she will also use urine and blood tests to watch for possible issues.

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Different Types Of High Blood Pressure In Pregnancy

There are 3 types of high blood pressure during pregnancy:

  • Chronic hypertension: This is when you already had high blood pressure before you fell pregnant for example if you already had a medical condition such as kidney disease. Chronic hypertension also refers to when your high blood pressure is diagnosed in the first 20 weeks of pregnancy. Some women with chronic hypertension may develop pre-eclampsia when they are pregnant.
  • Pregnancy-induced hypertension: This is high blood pressure that is diagnosed after 20 weeks of pregnancy. It is also called gestational hypertension.
  • Pre-eclampsia: Pre-eclampsia is a serious condition that only occurs in pregnant women. As well as high blood pressure, it can also affect the kidneys, liver, blood and brain.

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What Are High Blood Pressure Complications During Pregnancy

Complications from high blood pressure for the mother and infant can include the following:

  • For the mother:preeclampsiaexternal icon, eclampsiaexternal icon, stroke, the need for labor induction , and placental abruption .1,4,5
  • For the baby:preterm delivery and low birth weight .1,6 The mothers high blood pressure makes it more difficult for the baby to get enough oxygen and nutrients to grow, so the mother may have to deliver the baby early.

Discuss blood pressure problems with your health care team before, during, and after pregnancy.

Learn what to do if you have high blood pressure before, during, or after pregnancy.

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How Can I Bring My Blood Pressure Down If It Spikes

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What Is Normal Blood Pressure In Pregnancy

I am 25 weeks pregnant with high blood pressure. How can I lower it?

Normal blood pressure in pregnancy is less than 120/80 mm Hg. That’s expressed as “120 over 80.”

Blood pressure is measured in millimeters of mercury , and the measurement has two numbers. The top number is the pressure of your blood against the walls of your arteries when your heart contracts and pumps blood. The bottom number is when the heart relaxes and fills with blood.

High blood pressure is diagnosed when either the systolic or diastolic number is at an unhealthy level or if both are.

The guidelines for blood pressure readings during pregnancy are:

  • Normal: Less than 120/80 mm Hg
  • Mild hypertension: Higher than 140/90 mm Hg
  • Severe hypertension: Higher than 160/110 mm Hg

These numbers are different than guidelines for blood pressure for people who aren’t pregnant.

Your provider or a medical assistant will measure your blood pressure at each prenatal visit. Your healthcare provider may also ask you to monitor your blood pressure at home.

Before concluding that you have hypertension, your provider will probably take your blood pressure readings at least two different times. That’s because your blood pressure varies throughout the day, and it can go down when you’re relaxed and up when you’re active or stressed. Some people may have an above-normal blood pressure reading because they get nervous at the doctor’s office a phenomenon called “white-coat hypertension.”

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How Is Blood Pressure Measured

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Blood pressure is shown as 2 numbers:

  • The top number is the highest pressure in your arteries when your heart pumps blood to the rest of your body.
  • The bottom number is the lowest pressure when your heart rests between heartbeats.

Blood pressure is normally written as the top number over the bottom number, such as 120/80.

High blood pressure may be considered to be 140/90 mmHg or higher. However, it is difficult to give an example of a high blood pressure reading, because it depends on the individual. The level of blood pressure that is high for you depends on lots of different factors and your overall risk of heart attack or stroke. Generally, the lower your blood pressure, the better. If you have a history of heart disease, diabetes or a high risk of heart attack or stroke, it’s recommended you lower your blood pressure to less than 130/80. See who needs to get their blood pressure checked?

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Does High Blood Pressure Increase Heart Rate

Heart rate and blood pressure do not necessarily increase at the same rate. A rising heart rate does not cause your blood pressure to increase at the same rate. Even though your heart is beating more times a minute, healthy blood vessels dilate to allow more blood to flow through more easily. When you exercise, your heart speeds up so more blood can reach your muscles. It may be possible for your heart rate to double safely, while your blood pressure may respond by only increasing a modest amount.

High Blood Pressure In Pregnancy

Blood pressure is the amount of pressure the blood places against the blood vessels walls with each heartbeat. A person can experience elevated or high blood pressure, or hypertension, during pregnancy. This is when the blood puts more pressure than normal against the artery walls.

According to the AHA , people living with untreated high blood pressure are at a greater risk of developing a heart attack, stroke, or other health issues, such as kidney disease.

During pregnancy, high blood pressure is also known as gestational hypertension. Gestational hypertension occurs if the womans blood pressure is within the normal range for the first 20 weeks of pregnancy and then increases to 140/90 mm Hg or higher during the second half of the pregnancy.

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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

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