Hypertensive disorders of pregnancy is a general terminology that includes chronic/preexisting hypertension, gestational hypertension, preeclampsia, and eclampsia. They occur in up to 10% of pregnancies and represent a significant cause of maternal and perinatal morbidity and mortality. The definition of hypertension is constantly evolving, the cut-off is considered as blood pressure of 140/90mmHg and above. This must be measured twice, at least 4 hours apart. The hormonal changes of pregnancy induce significant adaptations in the cardiovascular physiology of the mother. Beginning early in the first trimester, there are surges of estrogen, progesterone, and relaxin. These hormones mediate the release of nitric oxide which triggers a cascade of events that leads to gestational hypertension. The progression of hypertension to pre-eclampsia/eclampsia is thought to be related to a mechanism of reduced blood flow to the placenta, inducing vascular dysfunction throughout the body systems. A lot of patients may not know that they have this condition until later in pregnancy or a few days after delivery. This is why it is important to have the blood pressure and urine checked at each antenatal appointment. To prevent preeclampsia in particular, pregnant women who have any of the risk factors mentioned earlier should talk to their doctors about making lifestyle changes that can help keep them healthy. Hypertensive disorders of pregnancy are quite common and they cause significant morbidity and mortality for both mothers and children. Prevention, early detection, and prompt treatment can help to reduce the burden of the condition on maternity services. Visit CURIS MULTISPECIALITY CLINIC to know more about hypertensive disorders. You can find the Best Doctor for hypertensive disorders at CURIS MULTISPECIALITY CLINIC.
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