Hypertension in Pregnancy: Risks, Symptoms, and Management

Hypertension in Pregnancy: Risks, Symptoms, and Management — Hypertension during pregnancy, ranging from gestational hypertension to severe conditions like preeclampsia and eclampsia, poses significant risks to both mother and baby, requiring careful monitoring and management.

13 Mar, 2025

Understanding Hypertension in Pregnancy

Hypertensive disorders of pregnancy (HDP) are serious conditions that can impact both mother and baby, with potential long-term consequences like increased cardiovascular risks. Early detection and management are crucial for ensuring a healthy pregnancy.

Types of Hypertension in Pregnancy

Chronic Hypertension: High blood pressure diagnosed before pregnancy or before 20 weeks of gestation, often persisting postpartum.
Gestational Hypertension: High blood pressure after 20 weeks of gestation without organ damage, requiring close monitoring to prevent progression to pre-eclampsia.
Pre-eclampsia: A severe condition marked by high blood pressure and proteinuria (protein in urine), potentially leading to life-threatening complications like eclampsia.
Superimposed Pre-eclampsia: Occurs when chronic hypertension is complicated by the onset of pre-eclampsia.

Symptoms of Hypertension in Pregnancy

Early identification of warning signs is crucial. Symptoms include:

Severe headaches
Visual disturbances (blurred vision, flashing lights)
Upper abdominal pain (especially under the ribs)
Sudden swelling in hands, face, or legs
Decreased urine output, indicating kidney involvement

Risks of Hypertension in Pregnancy

Maternal Risks: Organ damage (kidneys, liver, brain), placental abruption, and eclampsia.
Fetal Risks: Intrauterine Growth Restriction (IUGR), preterm birth, and stillbirth in severe cases.

Management of Hypertension in Pregnancy

Regular Monitoring: Blood pressure checks, urine tests, and ultrasounds to track fetal growth and placental health.
Medications: Antihypertensive drugs like labetalol, nifedipine, or methyldopa, along with low-dose aspirin for high-risk women.
Lifestyle Modifications: Salt restriction, balanced diet, hydration, and adequate rest.
Delivery Planning: Early delivery may be necessary in severe cases to protect both mother and baby.

Expert Care for Hypertension in Pregnancy

Managing hypertension during pregnancy requires a multidisciplinary approach. Dr. Sandeep Bhurke, a renowned nephrologist and kidney specialist in South Mumbai, collaborates closely with obstetricians to provide comprehensive care, ensuring:

Personalized monitoring and treatment plans.
Prevention of long-term complications like chronic hypertension or kidney damage.
Improved outcomes for both mother and baby.

Early diagnosis and expert management are key to navigating hypertension during pregnancy safely. Trust Dr. Sandeep Bhurke for specialized care tailored to your needs.