Core tip: can hypertensive patients get pregnant? The answer is yes, and 85% of women with essential hypertension go through a normal pregnancy and eventually give birth successfully. Women with hypertension need to pay special attention to their blood pressure and monitor their blood pressure regularly from the time they decide to be pregnant.
Can hypertensive patients get pregnant? The answer is yes. Experts pointed out that hypertension patients can be pregnant, but to be very careful and regular monitoring of blood pressure. Because the risk of hypertensive pregnant women is higher than that of normal pregnant women, it is easy to merge with severe pregnancy-induced hypertension syndrome, which makes the fetal mortality increase, and the mother to be is also prone to heart failure and other serious situations.
If you already know that you have chronic hypertension before you have a baby, you need to ask a cardiovascular expert for a comprehensive examination to determine whether you can get pregnant, the condition of hypertension before pregnancy, whether the heart and kidney are affected, and whether the fundus is abnormal, which is very important for the success of pregnancy. The original chronic hypertension during pregnancy tends to aggravate. The original blood pressure is very high, even the kidney, heart, and fundus are affected, and the blood pressure after pregnancy is higher. The prognosis of mother and child will be bad. Therefore, with the permission of the doctor's comprehensive assessment, pregnancy can be carried out. For women with mild hypertension and a short course of the disease before pregnancy, it is better not to be too old for pregnancy.
Therefore, women with hypertension need to pay special attention to their blood pressure between the time they decide to be pregnant and when they are already pregnant. Patients with severe hypertension should not discontinue drug treatment, and doctors should be asked to choose blood pressure drugs with less impact on the fetus for continuous treatment (such as calcium ion antagonists); patients with mild hypertension (especially young people), generally speaking, do not need drug treatment, but suggest taking diet and exercise to control blood pressure.
It is not yet clear whether the treatment of mild chronic hypertension can reduce the incidence rate of preeclampsia. Preeclampsia is a kind of pregnancy-specific hypertension disease, also known as toxemia, formerly known as pregnancy-induced hypertension. If you have mild hypertension and your doctor thinks you should be treated during pregnancy, you need to take drugs that are safe for the fetus. If doctors are more concerned about the potential risks of drugs than the increased risk of pre-eclampsia, they think you don't need special treatment during pregnancy. In that case, you can stop taking drugs under the guidance of your doctor when you are preparing for pregnancy.
There is good news to tell you that the vast majority (85%) of women with essential hypertension will go through a normal pregnancy and eventually give birth successfully. It is very important to monitor blood pressure regularly during pregnancy. Don't forget to take a notebook to record it!
