The changes that occur in the woman’s body throughout gestation can ‘mask’ a Chronic Hypertension ( Hypertensive ) that Only Manifests Itself in the Second Trimester
Blood pressure is the force exerted by the blood against the walls of the arteries as it circulates through body. It is measured using two numbers, usually separated by a bar, which indicate systolic or diastolic blood pressure (when the heart is holding back and relaxing), and normal numbers are usually around 120/80 mm-Hg.
But what indices mark the one known as hypertension, and why is it so important to control it during pregnancy? If the previous figure reaches pressure levels of 140/90 mm-Hg or higher, this person is considered to suffer from hypertension. That is, it has high blood pressure, and among pregnant women it can be manifested in two ways, second quarter.
If we are planning a pregnancy, it is always better to know if we are hypertensive or not. Because if we are certainly hypertension will prolong during pregnancy (chronic). While if Hypertensive occurs only in these months will be called gestational hypertension. And is specific to the changes that occur in the circulatory system of the mother and that have to do among other things with an increase in blood volume.
Pre-pregnancy hypertension can be diagnosed at a Pre-visit to the Gynecologist, which is fundamental because during the first trimester almost all mothers have low blood pressure as the body becomes accustomed to changes, and this low pressure can ‘mask’ chronic hypertension That we already had, and that this is not again evident until after the 20th week of gestation. Today, moreover, these visits are not covered by the Spanish public health system.
High blood pressure may have no symptoms, so the best way to detect it is by measuring it, and hence it should be measured at each prenatal medical checkup, sometimes accompanied by a blood and urine test that measures the level of protein in the same. Although gestational hypertension does not have to involve complications for the mother and the future baby. A combination of high blood pressure with bloating and the presence of proteins in the urine can put the doctor on the trail of a serious pregnancy complication such as preeclampsia. And eclampsia, or derive in a premature birth, a baby with little weight or problems with the placenta.
WHO HAVE THE HIGHER RISK OF HYPERTENSIVE ?
In addition to women who already had chronic high blood pressure, prior to pregnancy. There are a number of conditions that may predispose the expectant mother to develop gestational hypertension. A very important aspect, in which gynecologists and obstetricians insist. Is the control of Pre-pregnancy weight: obese women are at increased risk of developing hypertension during gestation. In addition to other complications. Also women who become pregnant for the first time from 35-40 years, and in multiple pregnancies. Much more frequent these days than a few years ago.