Prof. Dr. Ali EKİZ

Prof. Dr. Ali EKİZ

Gynecology and Perinatology (Risky Pregnancy) Specialist

With over 15 years of professional experience, dozens of national and international research articles, and most importantly, his smiling face, Gynecology and Perinatology Specialist Prof. Dr. Ali EKİZ is with you.

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Pregnancy and Hypertension

What to Know About Pregnancy and Hypertension?

Hypertension, popularly known as high blood pressure, is the condition in which the pressure values created by the blood in the veins during the heart beat are higher than expected. During pregnancy, systolic blood pressure over 140 mmHg and diastolic blood pressure over 90 mmHg are abnormal and are called hypertension.

In some cases, hypertension can occur during pregnancy. In other words, women who have not been diagnosed with hypertension before may have hypertension after the 20th week of pregnancy. Hypertension can be seen in 6 out of every 100 pregnant women. Hypertension that occurs during pregnancy usually disappears after birth. People who do not get better after birth are considered to have chronic hypertension. In this article, we have compiled what you need to know about pregnancy and hypertension.

What Are the Types of Hypertension During Pregnancy?

Hypertension during pregnancy occurs in three different ways. We can list the types of hypertension during pregnancy as follows:

• Chronic Hypertension: Pregnant women who were diagnosed with hypertension before pregnancy and use blood pressure medication constitute this group.

• Gestational Hypertension: The development of hypertension after the twentieth week of pregnancy, but not progressing to preeclampsia and disappearing after delivery.

• Preeclampsia: Preeclampsia is diagnosed with hypertension occurring after the twentieth week of pregnancy and some other findings. Preeclampsia is a dangerous disease for both the mother and the baby.

Who Are the Hypertension Risk Group During Pregnancy?

We can list the risk groups that may have hypertension during pregnancy as follows:

• Expectant mothers with their first pregnancy

• Expectant mothers younger than 18 years of age (adolescent pregnancies)

• Expectant mothers over the age of 35 (advanced maternal age)

• Expectant mothers with kidney disease and hypertension

• Multiple pregnancies

How is Gestational Hypertension Diagnosed?

The expectant mother’s blood pressure must be measured at every doctor’s check-up. If hypertension is detected in the expectant mother, urine and blood tests should also be performed.

In addition, kidney profile tests are also checked in expectant mothers with hypertension. Doppler ultrasound measures the amount of blood transmitted to the baby from the placenta and cord.

What is the effect of hypertension during pregnancy on the baby?

Due to hypertension during pregnancy, the baby may be at increased risk for the following conditions:

• Early birth

• Amniotic fluid deficiency

• Growth and development restriction

• Cesarean birth

• Death in the womb

What is the effect of hypertension during pregnancy on the expectant mother?

Due to hypertension during pregnancy, the mother may be at increased risk for the following conditions:

• Pulmonary edema

• Abruption, that is, placental bleeding

• Disseminated intravascular coagulation

• Acute respiratory failure

• Celebral hemorrhage

• Liver damage

• Hypertensive encephalopathy (brain damage)

How to Treat Gestational Hypertension?

Treatment of gestational hypertension varies according to the week of pregnancy. If the pregnancy is in its final stages, preterm delivery may be considered depending on the findings of the ultrasound examination.

If high blood pressure is detected during pregnancy, perinatology control is important.

How to Manage Hypertension and Mild Preeclampsia During Pregnancy?

Hypertension and mild preeclampsia during pregnancy can be followed on an outpatient basis. However, it should be evaluated by a perinatology specialist and a follow-up plan should be made.

What are the Problems That Can Be Faced by Expectant Mothers Who Have Hypertension During Pregnancy?

The risk of diabetes, hypertension and heart disease increases in the future in mothers who develop preeclampsia during pregnancy. Therefore, if hypertension is observed more than 12 weeks postpartum, hypertension may become permanent and therefore should be evaluated by a cardiologist. Mothers whose blood pressure has returned to normal can add routines such as healthy eating and regular exercise to their lifestyle.


You can make your appointment with Perinatology (Risky Pregnancy) Specialist Prof. Dr. Ali Ekiz via the WhatsApp button.

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