Female Patients Should Control the Blood Pressure to Stable to Have a Baby

Core Tip: Female patients should control the blood pressure to stable, and then prepare to have a baby.  Generally speaking, expert believed that patients with severe chronic hypertension, diabetes, hypertension, heart, kidney or renal dysfunction, or age greater than 35 years of age should not become pregnant.

 

Diagnostic criteria of hypertension: systolic blood pressure is equal to or higher than 140 mm Hg and diastolic blood pressure is equal to or greater than 90 mm ​​Hg can be diagnosed as hypertensive. Hypertension incidence of people who have family history is higher, which suggest the disease may have a genetic factor.

 

Fertility risk of hypertensive patients:

 

Couple long-term use of antihypertensive medication before pregnancy can decrease sperm quality and cause male sexual function decline.

 

If chronic hypertension merges with the gestation, it will impact to the mother: effects: chronic hypertension is most prone to cause serious complications such as secondary to preeclampsia, eclampsia and placental abruption, severe HELLP syndrome. Pregnant women may be complicated by HELLP syndrome, pulmonary edema, placental abruption, postpartum hemorrhage, DIC, renal failure and liver rupture to lead to maternal mortality.

 

Chronic hypertension in pregnancy on fetal and perinatal effects: chronic hypertension in pregnancy lead to miscarriage, stillbirth, premature birth, stillbirth, fetal growth retardation and perinatal death.

 

Cesarean section rate increased.

 

Eugenics guide:

 

Female patients should control the blood pressure to stable, and then prepare to have a baby.  Generally speaking, expert believed that patients with severe chronic hypertension, diabetes, hypertension, heart, kidney or renal dysfunction, or age greater than 35 years of age should not become pregnant.

 

Pregnancy should monitor the blood pressure fluctuations condition during pregnancy, prenatal clinics regularly checked closely monitor pregnant women symptoms, changes in blood pressure, urine protein, detect fetal growth and development and placental function. Weekly line after 34 weeks, they should do gestation fetal heart rate monitoring, mainly to have a rest in the bed, low-salt diet, sedation antihypertensive therapy, such as the discovery of preeclampsia symptoms, they should be hospitalized as soon as possible.

 

Pregnant women are suitable for antihypertensive drugs: methyldopa, nifedipine, labetalol and magnesium sulfate, which have no adverse effect on the fetus. They should minimize to use of diuretics, mainly because diuretics would reduce maternal blood volume and often accompanied by adverse perinatal outcomes.

 

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