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🩺 Gestational hypertension / pregnancy-induced hypertension

Disease Overview

Third Trimester

High blood pressure (≥140/90 mmHg) arising after 20 weeks in someone previously normotensive.

Causes

1 . The exact cause is unknown

Risk Factors

1 . Prior hypertension
2 . kidney disease
3 . diabetes
4 . maternal age <20 or >40
5 . multiple pregnancy
6 . obesity
7 . African ethnicity

Prevention

1 . Early monitoring
2 . Manage preexisting conditions
3 . Appropriate weight gain
4 . Treat underlying risk factors

Symptoms

1 . Often asymptomatic.
2 . In severe cases, symptoms can include:
3 . Headaches
4 . Vision changes (like blurred vision or seeing spots)
5 . Upper abdominal pain

Complications

Complications can arise during pregnancy and may affect both the mother and the baby.

Mother's Complications

Complications that may affect the mother during pregnancy.

1 . Progression to pre-eclampsia or eclampsia
2 . Placental abruption
3 . Stroke
4 . Organ damage (kidneys, liver, brain)
5 . Increased risk of cardiovascular disease later in life

Baby's Complications

Complications that may affect the baby during pregnancy.

1 . Preterm birth
2 . Intrauterine growth restriction (IUGR)
3 . Stillbirth

Treatment Options

Evidence-based approaches for management

Treatment Options

1 . Frequent prenatal monitoring of blood pressure and urine protein.
2 . Lifestyle adjustments, such as rest and stress reduction.

Medical Treatment

1 . Antihypertensive medications (e.g., labetalol, nifedipine, methyldopa).
2 . Hospitalization for management in severe cases.
3 . Monitoring for signs of pre-eclampsia.

Nutritional Treatment

Videos

Educational videos about this condition and its management

Hypertension During Pregnancy

The Types of Hypertension During Pregnancy - Care of the Childbearing Family | Lecturio Nursing

Educational VideoEN