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I am pregnant and just diagnosed with hypertension. Can there be complication with the birth?

20 doctors weighed in
Dr. Pam Yoder
Obstetrics & Gynecology - Maternal Fetal Medicine
13 doctors agree

In brief: Management helps

A woman who develops high blood pressure during the first 20 weeks of pregnancy has some different risks than one whose blood pressure becomes elevated after 20 weeks.
An OB might refer either one to a maternal-fetal medicine subspecialist for consultation and ultrasound studies. Those visits will help develop a plan for evaluation of the woman and fetus and for treatment and timing of delivery.

In brief: Management helps

A woman who develops high blood pressure during the first 20 weeks of pregnancy has some different risks than one whose blood pressure becomes elevated after 20 weeks.
An OB might refer either one to a maternal-fetal medicine subspecialist for consultation and ultrasound studies. Those visits will help develop a plan for evaluation of the woman and fetus and for treatment and timing of delivery.
Dr. Pam Yoder
Dr. Pam Yoder
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2 comments
Dr. Michael Blum
Having control of blood pressure is most important for the health of the baby. Prenatal care is essential!
Dr. Chukwuma Onyeije
Monitoring by a maternal-fetal medicine specialist is very important in cases of hypertension. It's also important to self-monitor your blood pressure as well. Many patients will notice a decrease in blood pressure in the second trimester. Over-correction of blood pressure and keeping a low blood pressure on medications has been shown to increase the possibility of low birth weight.
Dr. James Underberg
Internal Medicine
2 doctors agree

In brief: Pregnancy & high BP

Uncontrolled hypertension during pregnancy can adversely impact the mother & the fetus, and it is the most common medical disorder encountered during pregnancy.
Despite this fact, if diagnosed and managed correctly these risks can be dramatically reduced. Some medications are safer during pregnancy than others for the developing fetus. Close monitoring of the mother is important for mother & baby.

In brief: Pregnancy & high BP

Uncontrolled hypertension during pregnancy can adversely impact the mother & the fetus, and it is the most common medical disorder encountered during pregnancy.
Despite this fact, if diagnosed and managed correctly these risks can be dramatically reduced. Some medications are safer during pregnancy than others for the developing fetus. Close monitoring of the mother is important for mother & baby.
Dr. James Underberg
Dr. James Underberg
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Dr. Shahin Tavackoli
Internal Medicine - Cardiology
1 doctor agrees

In brief: Yes

Unfortunately, there is a high probability of complication in pregnant ladies with untreated hypertension.
Therefore it is of paramount importance to control your hypertension during and likely for a short period of time post pregnancy until the blood pressure normalizes. There are several safe drugs for this purpose and your doctors can suggest them, low salt diet is also very important.

In brief: Yes

Unfortunately, there is a high probability of complication in pregnant ladies with untreated hypertension.
Therefore it is of paramount importance to control your hypertension during and likely for a short period of time post pregnancy until the blood pressure normalizes. There are several safe drugs for this purpose and your doctors can suggest them, low salt diet is also very important.
Dr. Shahin Tavackoli
Dr. Shahin Tavackoli
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Dr. James Underberg
Internal Medicine
1 doctor agrees

In brief: Preeclampsia

Preeclampsia is defined as hypertension that develops after the 20th week of pregnancy assoiciated with protinuria (protein in the urine) with or without edema (swelling) of the extremities.
It occurs in 5% of all pregnancies and 10% of first pregnancies and is more likely to occur in those with chronic hypertension. It can be safely managed under the care of an obstetrician.

In brief: Preeclampsia

Preeclampsia is defined as hypertension that develops after the 20th week of pregnancy assoiciated with protinuria (protein in the urine) with or without edema (swelling) of the extremities.
It occurs in 5% of all pregnancies and 10% of first pregnancies and is more likely to occur in those with chronic hypertension. It can be safely managed under the care of an obstetrician.
Dr. James Underberg
Dr. James Underberg
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Dr. Kristi Moffat
Family Medicine

In brief: Yes

Your doctor will likely monitor your pregnancy more closely to try to catch early signs of potential complications.

In brief: Yes

Your doctor will likely monitor your pregnancy more closely to try to catch early signs of potential complications.
Dr. Kristi Moffat
Dr. Kristi Moffat
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Dr. James Underberg
Internal Medicine

In brief: Classifications

Hypertension of pregnancy can be divided into four categories: 1.
Pre-existing or chronic hypertension, 2. Preeclampasia-eclampsia, 3. Preeclampsia on top of chronic hypertension and late onset or gestational hypertension. Often hypertension that develops late in pregnancy needs to be treated for several months after delivery before improving on it's own.

In brief: Classifications

Hypertension of pregnancy can be divided into four categories: 1.
Pre-existing or chronic hypertension, 2. Preeclampasia-eclampsia, 3. Preeclampsia on top of chronic hypertension and late onset or gestational hypertension. Often hypertension that develops late in pregnancy needs to be treated for several months after delivery before improving on it's own.
Dr. James Underberg
Dr. James Underberg
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