Dr. Manasi Thakur | Gynaecologist In Nagpur | Pregnancy, Delivery | Abortion | Cosmetic Gynecology

High Blood Pressure During Pregnancy By Dr. Manasi Thakur – Zeinth Hospital

High blood pressure (hypertension) during pregnancy is defined as blood pressure ≥140/90 mmHg. If left untreated, it can become serious and affect both mother and baby’s health.

Risk Factors

Certain conditions make high blood pressure more likely during pregnancy:

  1. Lifestyle – Lack of physical activity and obesity are major contributors.

  2. Type of Pregnancy – First pregnancy, multiple pregnancies, and IVF pregnancies carry higher risk.

  3. Age – Women above 35 years have greater chances of developing hypertension.

Hypertension

Causes of High Blood Pressure in Pregnancy

Some of the common causes include:

  • Obesity

  • Sedentary lifestyle

  • Smoking and alcohol consumption

  • History of hypertension in earlier pregnancies

  • Family history of hypertension

  • Carrying twins or more

  • Age above 35 years

  • IVF pregnancies

  • Diabetes or autoimmune diseases

Complications of High Blood Pressure in Pregnancy

1. Preeclampsia

This occurs when blood pressure ≥140/90 mmHg with protein in urine. It can damage vital organs like the brain and kidneys. In severe cases, it can cause convulsions (eclampsia), which can be life-threatening.

Symptoms include:

  • Swelling of face, hands, and legs

  • Severe headaches

  • Blurred vision

  • Upper abdominal pain

  • Nausea or vomiting (later stages of pregnancy)

  • Breathing difficulty

⚠️ Preeclampsia is dangerous for both mother and baby. Immediate medical attention is needed if these symptoms appear.

2. HELLP Syndrome

A severe and life-threatening complication of preeclampsia.
HELLP stands for:

  • Hemolysis (breakdown of red blood cells)

  • Elevated Liver Enzymes

  • Low Platelet count

Symptoms:

  • Nausea and vomiting

  • Severe headache

  • Pain in the upper abdomen

Risks include:

  • Preterm birth

  • Placental abruption

  • Low birth weight

  • Multi-organ failure

Treatment

During routine antenatal visits, your blood pressure is closely monitored. If found elevated, your doctor will prescribe safe oral medicines to control it. Timely management is essential to prevent serious complications and ensure a healthy pregnancy for both mother and child.
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