The ONE organ responsible for high blood pressure.
What is Chronic Hypertension?
What causes high blood pressure? High blood pressure usually develops over time. It can happen because of unhealthy lifestyle choices, such as not getting enough regular physical activity. Certain health conditions, such as diabetes and having obesity, can also increase the risk for developing high blood pressure.
Hypertension is the medical term for high blood pressure and chronic hypertension refers to patients who had high blood pressure before they became pregnant or developed it early in pregnancy.
There is no cure for high blood pressure. But treatment can lower blood pressure that is too high. If it is mild, high blood pressure may sometimes be brought under control by making changes to a healthier lifestyle.
What is Hypertension?Hypertension is the medical term for high blood pressure and chronic hypertension refers to patients who had high blood pressure before they became pregnant or developed it early in pregnancy. This is different from a special kind of high blood pressure that some women get during pregnancy called pre-eclampsia. Pre-eclampsia usually develops in the second half of pregnancy or in the post-partum period and goes away in the first few months after delivery.
Chronic Hypertension and PregnancyWomen who have chronic hypertension and become pregnant need to be closely monitored. Chronic hypertension puts women at a higher risk of developing pre-eclampsia or other blood pressure conditions during pregnancy. Chronic hypertension is also associated with increased risks of pregnancy complications like stillbirth, placental abruption, and fetal growth restriction.
Treatment Before PregnancyIdeally, people who are thinking of becoming pregnant in the near future should schedule a pre-conception counseling appointment (or appointments) to check their health, medical history, medications, and lifestyle habits that can influence the outcome and experience of pregnancy. People who have hypertension should also have a pre-conception consultation with their OB/GYN and/or Maternal Fetal Medicine specialist as well as their primary care physician or cardiologist to discuss solutions to reduce your risk of adverse outcomes.
Treatment During PregnancyAn OB/GYN or Maternal Fetal Medicine specialist can help decide if you need treatment for your high blood pressure during pregnancy and/or to see if the medication you are taking is safe to take during pregnancy. Women’s blood pressure naturally varies during pregnancy, so we recommend that you check your blood pressure at home in addition to at your doctor’s office to see if you need to change the dose of your medication during the pregnancy. Many patients are started on a baby aspirin to help decrease the risk of developing pre-eclampsia. We also recommend additional monitoring of your baby through ultrasounds to evaluate the growth and the well-being of the baby.
SYMPTOMS OF PRE-ECLAMPSIAWhether you have chronic hypertension or not, it’s important to know and watch out for the symptoms of pre-eclampsia both during and before pregnancy to be aware of the signs of this potentially complicating condition. Symptoms include:
- Chronic headache
- Changes in vision
- Abnormal swelling in your hands or face