Patient's question:
At 32 weeks pregnant, I have gestational hypertension and a few complications. Below are the ultrasound reports from yesterday and today. I want to ask why the S/D values in the two ultrasounds differ so much within two days. Is this situation appropriate? Could you please help me check how much the gestational age could be reduced in this case? Are the data on the ultrasound reports normal? Does the baby have dual?Doctor's answer:
The treatment of gestational hypertension differs from general hypertension and should adopt comprehensive measures based on different etiologies, including diet, exercise, and medication, to control blood pressure effectively.1. Non-pharmacological treatment:
① Adequate rest and complete elimination of stress.
② Low-sodium diet.
③ Calcium supplementation: Taking 1.5–2.0 grams of calcium daily can increase systolic and diastolic blood pressure by 5.4 mmHg and 3.4 mmHg, respectively. Calcium supplementation is highly beneficial for individuals with low calcium intake. However, calcium supplementation does not increase the risk of preeclampsia.
2. Pharmacological treatment:
Although antihypertensive drugs can lower blood pressure in pregnant women, they may have adverse effects on the fetus. Therefore, antihypertensive drugs should be used cautiously in women with gestational hypertension. If blood pressure decreases slightly before pregnancy without complications, antihypertensive medication should be discontinued in the early stages of pregnancy, as physiological hypotension is common during pregnancy, making medication unnecessary. However, if blood pressure is greater than or equal to 140/90 mmHg, pharmacological treatment should be initiated, and drugs with no teratogenic effects on the fetus should be selected.