What causes chronic hypertension in pregnancy?
Risk factors for chronic hypertension include advanced maternal age (> 40 years), obesity (BMI ≥30 kg/m2), type 2 diabetese mellitus, renal disease, and gestational diabetes mellitus in the index pregnancy. Chronic hypertension can be primary (essential) or secondary to other etiology.
What is considered chronic hypertension?
Chronic Hypertension is the term for having high blood pressure and increases your risk for heart attack, stroke, heart failure, or kidney disease.
How do you manage chronic hypertension during pregnancy?
Medical treatment of chronic hypertension in pregnancy, that is, hypertension present before 20 weeks’ gestation, is recommended at 160 mm Hg systolic or 110 mm Hg diastolic with labetalol or extended-release nifedipine, treating to 120 to 159 mm Hg systolic and 80 to 109 mm Hg diastolic.
What is chronic hypertension caused by?
It is a disease in itself largely caused by advancing age and genetics. By age 80, some 90% of adults have primary hypertension due to arteries narrowed by atherosclerosis.
Can you have a healthy pregnancy with chronic hypertension?
When managed appropriately, most women with chronic hypertension can experience healthy pregnancies and give birth to healthy babies.
What is the most common cause of hypertension in pregnancy?
The cause of gestational hypertension is unknown. Some conditions may increase the risk of developing the condition, including the following: Pre-existing hypertension (high blood pressure) Kidney disease.
What is the difference between chronic and gestational hypertension?
Chronic Hypertension– Women who have high blood pressure (over 140/90) before pregnancy, early in pregnancy (before 20 weeks), or continue to have it after delivery. Gestational Hypertension– High blood pressure that develops after week 20 in pregnancy and goes away after delivery.
Can chronic hypertension cause miscarriage?
High blood pressure “is so profoundly toxic to the arteries that it can actually lead to miscarriage and pregnancy loss,” said Steinbaum, who wasn’t connected to the study.
When do you treat hypertension in pregnancy?
Acknowledging limitations in evidenced-based data and other concerns discussed above regarding gestational age, we recommend a threshold for treatment of most pregnant hypertensive women of 140 to 150 mm Hg systolic, and/or 95 to 100 mm Hg diastolic to prevent worsening hypertension in the mother.