Xiao Zhao has a history of chronic hypertension for 4 years, but she has not taken it seriously and has not taken medicine well. At 12 weeks of pregnancy, it was found that her blood pressure was as high as 180/110mmHg. Moreover, Xiao Zhao did not pay attention to weight management, especially after pregnancy, she did not control her diet. Her weight was 145 kg, and her BODY mass index (BMI) was over 28.
"Hypertension in pregnancy cannot be ignored." Yang Lin told Xiao Zhao that she had received a pregnant woman with gestational hypertension without early treatment. The fetus not only grew slowly, but also had preeclampsia in late pregnancy, which was dangerous. And xiao Zhao if so indulge not only to their own physical harm, but also critical and fetal.
Xiao Zhao worry to cry: "before always thought hypertension has nothing to do with, did not expect to affect the child!"
Yang Lin comfort Xiao Zhao to actively cooperate with the treatment. Under the control of drugs for a period of time, Zhao's blood pressure has eased.
"Now there are more than two children, the number of patients with pregnancy hypertension has increased significantly." Yang Lin said, especially in the recent cold weather, pregnant women with high blood pressure have a certain range of increase. The prevalence of gestational hypertension accounts for 5%-10% of pregnant women, 70% of which are hypertensive during pregnancy.
Doctors say the classification of hypertension during pregnancy is complex, and it's not just about having high blood pressure during pregnancy. Normal blood pressure before pregnancy, increased blood pressure after pregnancy, pregnancy is a unique disease. Pregnant women themselves will appear elevated blood pressure, headache, edema, the development of serious illness will cause convulsions, and even coma. At the same time will cause slow fetal growth, hypoxia, and even fetal death in utero.
Experts have warned, gestational hypertension disease hurt both the mother and baby and hurt, increase of placental abruption, cerebral hemorrhage, diffuse intravascular coagulation, acute liver failure, acute renal failure and the risk of complications, such as fetal stunt is one of the important cause of maternal and fetal death, need to draw high attention.
"Elderly couples and couples with a second child should pay more attention to prenatal check-ups." Yang Lin said that for elderly pregnant women, their physical fitness is definitely not as good as when they were young. Complications of pregnancy such as chronic hypertension, diabetes, kidney disease and even cancer also increase. These symptoms can be difficult to detect if they occur after pregnancy. And many pregnant women in order to the health of the fetus, do not go to the doctor or take medicine, resulting in the discovery or treatment of the disease more delayed.
The incidence of hypertensive disorders during pregnancy is statistically higher in older pregnant women than in younger pregnant women, and the risk of preeclampsia has been reported to increase exponentially with maternal age, especially for women older than 40 years, which is 1.5 times higher than for women younger than 35 years.
Experts suggest that when pregnant, at least 3 months in advance to the hospital to do the relevant examination, for some women with high blood sugar, hypertension, cardiovascular and cerebrovascular diseases and kidney disease and other medical complications, to control the original disease better after considering pregnancy.