Blood Pressure:Preeclampsia

How is preeclampsia handled during pregnancy?

What Is Preeclampsia????
Preeclampsia is a condition that typically starts after the 20th week of pregnancy and is related to increased blood pressure and protein in the mother's urine (as a result of kidney problems). Preeclampsia affects the placenta and it can affect the mother's kidney, liver and brain. When preeclampsia causes seizures the condition is known as eclampsia--the second leading cause of maternal death in the U.S. Preeclampsia is also a leading cause of fetal complications, which include low birth weight, premature birth, and stillbirth.

There is no proven way to prevent preeclampsia. Most women who develop signs of preeclampsia are closely monitored to lessen or avoid related problems. The only way to 'cure' preeclampsia is to deliver the baby. High blood pressure video


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How Common Are High Blood Pressure and Preeclampsia in Pregnancy?

High blood pressure problems occur in 6 percent to 8 percent of all pregnancies in the U.S., about 70 percent of which are first-time pregnancies. In 1998, more than 146,320 cases of preeclampsia alone were diagnosed.

Although the proportion of pregnancies with gestational hypertension and eclampsia has remained about the same in the U.S. over the past decade, the rate of preeclampsia has increased by nearly one-third. This increase is due in part to a rise in the numbers of older mothers and of multiple births, where preeclampsia occurs more frequently. For example, in 1998 birth rates among women ages 30 to 44 and the number of births to women ages 45 and older were at the highest levels in 3 decades, according to the National Center for Health Statistics. Furthermore, between 1980 and 1998, rates of twin births increased about 50 percent overall and 1,000 percent among women ages 45 to 49; rates of triplet and other higher-order multiple births jumped more than 400 percent overall, and 1,000 percent among women in their 40s.

Who Is More Likely to Develop Preeclampsia?

• Women with chronic hypertension (high blood pressure before becoming pregnant).
• Women who developed high blood pressure or preeclampsia during a previous pregnancy, especially if these conditions occurred early in the pregnancy.
• Women who are obese prior to pregnancy.
• Pregnant women under the age of 20 or over the age of 40.
• Women who are pregnant with more than one baby.
• Women with diabetes, kidney disease, rheumatoid arthritis, lupus or scleroderma.

How Is Preeclampsia Detected?

Unfortunately, there is no single test to predict or diagnose preeclampsia. Key signs are increased blood pressure and protein in the urine (proteinuria). Other symptoms that seem to occur with preeclampsia include persistent headaches, blurred vision, sensitivity to light and abdominal pain.

All of these sensations can be caused by other disorders and they can also occur in healthy pregnancies. Regular visits with your doctor help him or her to track your blood pressure and level of protein in your urine, to order and analyze blood tests that detect signs of preeclampsia and to monitor fetal development more closely.

Does Hypertension or Preeclampsia During Pregnancy Cause Long-Term Heart and Blood Vessel Problems?

The effects of high blood pressure during pregnancy vary depending on the disorder and other factors. According to the National High Blood Pressure Education Program (NHBPEP), preeclampsia does not in general increase a woman's risk for developing chronic hypertension or other heart-related problems. The NHBPEP also reports that in women with normal blood pressure who develop preeclampsia after the 20th week of their first pregnancy, short-term complications--including increased blood pressure--usually go away within about 6 weeks after delivery.

Some women, however, may be more likely to develop high blood pressure or other heart disease later in life. More research is needed to determine the long-term health effects of hypertensive disorders in pregnancy and to develop better methods for identifying, diagnosing and treating women at risk for these conditions.

Prevention

Despite initial enthusiasm for the use of calcium supplements and low-dose aspirin therapy, these agents appear to be ineffective in the prevention of high blood pressure.

Comments: Blood Pressure - Preeclampsia

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preemiemommy - 38 days ago.
I had my first daughter due to severe preeclampsia at 27 weeks. I went in the hospital at 22 weeks and they kept me on and off magnesium sulfate...which is horrible! So with this pregnancy, I am almost 26 weeks and my bp is going up and so is the protein in my urine :( The bottom number of my bp is in the 80's to 90's....so I have kinda put myself on bedrest because I have more doc appointments on Monday and I don't want them to keep me in the hospital!

katznkt - 39 days ago.
Thanks lin! My bp has been all over the place. High side, it spikes to 156/98 and low side (if I am laying on my left side for 5 hours straight without getting up) it is 117/65. Normally if I am laying in bed at an incline taking normal bathroom breaks it is 145/85. Blood work looked good yesterday, so it seems to be staying at just PIH. Possible induction early this week.

lin - 46 days ago.
My pregnancy induced high blood pressure never resulted in Pre eclampsia. I was just like you, as long as I was resting or sitting it was normal, but as soon as i swept the floor of walked up the stairs it was high. Just put yourself on bed rest if you can, to avoid meds, limit your salt intake and eat lots of banana's!! They help reduce bp. Don't stress over your bp readings, or they will just read hig

lin - 46 days ago.
My pregnancy induced high blood pressure never resulted in Pre eclampsia. I was just like you, as long as I was resting or sitting it was normal, but as soon as i swept the floor of walked up the stairs it was high. Just put yourself on bed rest if you can, to avoid meds, limit your salt intake and eat lots of banana's!! They help reduce bp. Don't stress over your bp readings, or they will just read higher.

katznkt - 47 days ago.
NEED HELP!! Ok, so I had blood pressure issues with my daughter toward the end. They labeled me PIH and had me on magnesium at the end of delivery. But after delivery my blood pressure returned to perfect. Well this pregnancy my blood pressure was high in the first trimester 150-160s/something then low in the second trimester, then higher again in the third trimester. My blood pressure was steadily climbing so he told me to get off work and take it easy after he hospitalized me to run tests for preeclampsia. I had also been experiencing visual disturbances, and frequent bad headaches, and occasional protein in urine, although none in my 24 hour test.All the test came back negative, and resting in the hospital took the bp back down to 115/65 or so. So... I basically put myself on partial bed rest. Blood pressure has fluctuated some, but mostly has been 120-130s/75 when I stay off my feet. Today I took my blood pressure and it was 113/65, I ran out and got a few items from the store and then laid back down. After 4 hours of laying down, I took my blood pressure and it was 144/91. I haven't had a headache, but have been seeing floaters again today. Does this sound like it is headed toward preeclampsia, or is it just PIH that has been pretty well controlled until I over did it today?

pinkdiamond - 49 days ago.
has anyone had preeclampsia with their first pregnancy and didn't get it in the second pregnancy?

lin - 49 days ago.
Juli 140/90 is the highest they like to see it. I also had bp issues during two pregnancies. I also have white coat syndrome very bad! Its a great idea to track your readings at home and show your doctor so they dont put you on meds if you dont need them. The bottom number is the most important, you had one reading at home where it was 96, thats high. you don't want it over 90. But if it is, relax for a bit and take it again. Bp is so emotional, so try not to stress over it, or it will no doubt be high.

jamiekid - 51 days ago.
I was on mag sulfate after an emergecy section, it never bothered me - maybe because they had me on so much. (for more info see my birth story)

Juli H - 58 days ago.
I am 14 weeks pregnant and Iwent for my check-up and my blood pressure was high. The nurse was not concerned because she said I have no other symptoms. My DR still had me due the 24 hour urine test and get blood drawn. I am waiting for results. When I was at the DR's my BP was 140/90. I started taking it at home and it has been perfectly fine running 113/72, 106/70, 120/96. So, I am thinking it is white coat syndrome. I am more nervous this pregnancy and it is my second. We will see!

Mama2B 01-10-10 - 72 days ago.
i wish there were more ppl writing in this forum. i am 34 weeks pregnant and have chronic elevated BP. it was normal only during the middle of my pregnancy, was high before, and is now the highest it's ever been. i even check it at wal mart when i go just to make sure i don't have 'white jakcet syndrome,' which is when your BP reads high in hospitals due to nervousness. i feel completely normal everytime it's taken, so i know it's accurate. for a couple weeks it's been measuring 160/100 or just slightly below. i have done the 24 hour urine collection twice now to check for protein and have been in the normal range. i am just so confused as to what i should expect. i asked my doctor 'as long as there is no protein, there is nothing to worry about, right?' and he just says 'it's of interest.' yes, i understand they will continue to monitor it, but i need to know if it continues to raise or stay in stage 2 hypertension, will i be induced? or do they only induce if you have protein? i do occasionally see stars in my vision, and the last few days i have been vomiting and getting headaches. i also have bronchitis right now, so i dont know if the nausea is just a result of dehydration. i cannot find any information on the internet that gives me more answers about high BP during pregnancy that ISN'T with protein. well, i am off to the doctor again tomorrow, so i am hoping for some answers.

jessiezc - 175 days ago.
Kristen - wow! I didn't have that problem. I hardly noticed it... other than feeling some hot flashes, which was kind of welcome since the hospital was soooo cold. Then again, they also gave me a sleeping pill to help me dose off. I was VERY bad though, so maybe it depends on the severity?

kristentipton - 175 days ago.
Not to scare you ladies but the mag sulfate is really bad. Just prepare. I was so sick and so hot and miserable. I had my abby at 10 am and at 230 am that night i started ripping ivs and monitors off and the leg cuffs and the nurse came in and I told her I was leaving and she wasnt going to stop me... i was insane! (as i was laying on a puppy pad bleeding my insides out) SHe called the doctor and took me off of the stuff and withing a few hours i was back to normal... needless to say i didnt make it out of the room!

kbielec - 211 days ago.
For those that have had PE - or are concerned with it - this is also a great information site... you should check it out! http://preeclampsia.org/forum/forum.asp?FORUM_ID=100

2ND BABY ARYAN - 215 days ago.
Shellie77- the magnesium sulfate is HORRIBLE! It made me SO HOT, and sick! I was so doped up by the time I had him it was hard to remember anything! I had my first son at 34W 1D because of my BP and I was on meds the whole time! When I was 10 weeks I went in for a ob appointment and the nurse took my BP and she told me if you where 34 weeks you would be having a baby today! Well I woke one morning and was having pain in the top of my belly, so I called my mom and told her about the pain thinking it might be contractions, I didn’t have a clue being my first baby and all so she said No those are not contractions and me and my husband went to the ER and they checked my urine and I was spilling lots of protein into my urine! They did an ultrasound and said we have to get baby out now, so I had an emergency c-section and I really don’t remember much of that night except my baby crying and them telling me how healthy he was! They said that me having high BP the whole time made his lungs mature faster than normal, because of course they prepared me for the worst, but he not once had to have oxygen or anything, the only reason he had to be in the hospital was to learn how to suck! I am so hoping for better results this time around! My BP is doing great I am on a different med this time and it is controlling it thus far! But I am only 10W 1D! So I am praying for better results this time!

lourds - 215 days ago.
sas-jd, when I had a quite(?) hi-bp(130/90 average), my doc told me to be on moderate bedrest and to monitor my bp three times a day. hope you'll be ok.

sas-jd - 216 days ago.
ive just took my BP because i didnt feel so right and bad sickness with numb face swelling on my fingers, it was 148/94.. after hours did it again and it was 128/90 that ok? ive felt so ill past week or few weeks =/

Shellie77 - 216 days ago.
Apparently PE can affect you post partum as well. Sounds like thats what happened to you.

lin - 216 days ago.
Has anyone had any issues with high blood pressure after their baby was born? My two experiences were so odd...my first son, my bp got high at 36 weeks and I was given meds and IV drugs to lower it and then delivered a few days later, my BP remained high for two weeks postpartum, I was sent home on BP pills but it went back to normal after a few weeks. My second baby, my BP was normal throughout and then for four days postpartum it was still normal, and then it spiked to 180/120 when my milk came in and the cry baby hormones snapped into effect. I was on 2 200mg labetelol and 2 30mg adalate and just finally got off all pills at three and half months post partum! What the heck is this all about? anyone else have high blood pressure after the baby is born, and what have your doctors said about it. Mine seem very confused!

Shellie77 - 227 days ago.
Im 26 weeks and was just diagnosed with PE. Its a mild case though, my BP isnt very high yet, last reading was 130/74, my 24 hour urine came back at 336. Im on home modified bedrest for now and going tot he Dr 2x a week. I keep hearing about the mag sulfate being awful, why is that?

juicy - 246 days ago.
Well I've been diagnosed with mild pre-eclampsia since week 31. I've been on bedrest since 29 April 09and in the hospital since 20 May 09. My blood pressures are very brittle, one day up high the next normal. My highest reading has been 167/104. I am currently going crazyin this hospital, but the end is in sight. They are going to induce me on Friday June 12th. So hopefully I won't have to have the mag sulfate, but you never know. The Doc recommends having an epidural, because it has a BP lowering effect.

lourds - 246 days ago.
during my 32nd week check-up my bp was 160/100 and a +1 protein in my urine, my doctor didn't allow me to go home anymore, my bp and fetal heartbeat had to be monitored 24hrs, had 2 steroid injections, medicines evry 4 hours, and a mag sulfate that is suppose to bring ones bp down but to no avail, after 4 days when all else failed to bring my bp down, i gave birth thru cs...

starby - 249 days ago.
I had the IV of mag sulfate for 6 days! That stuff is awful :( I had my baby at 34 weeks due to preeclampsia...I was home on bedrest and my water broke so she was just ready to come out at that point. A week previous I had been hospitalized for high bp and they gave me the steroid shot to mature her lungs which I was so thankful for when she was born because she didnt need breathing tubes or oxygen. She was in great shape for being 6 weeks early but it took a good month and lots of confused doctors to get my blood pressure back down to normal. Just make sure you get all of the rest you can and elevate your feet lots, that helped with all of the swelling I had. I'm sooooooo nervous to get pregnant again because I'm scared of going through all of that again :(

winger - 249 days ago.
i am preeclampsic right now. Does anyone know what i'm in for? How many weeks can i last?

brendalee - 254 days ago.
When I had preelampsia my BP got over 170. When my mom had it my sister ended up dying then with my other sister my mom almost died so I FREAKED out when they said I had it. The 24 HR urine deal was a joke....at the 22 hour mark they just decided to induce and threw out all my pee lol Did anyone get put in an IV to paralyze them to prevent a seizure? That stuff was AWFUL.

mrs m - 313 days ago.
My highest reading was 164/104 and that was after i was given labetalol(bp pills)!!!i spent 10 days in hospital before giving birth and it was the most awful time of my life!!!im really hoping i dont get it with this pregnancy cause my hubby will have to take time off work to look after our young daughter and we cant afford it

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