Patient's question:
Doctor, hello. I am currently 32 weeks pregnant. Starting from week 28, my blood pressure readings each week have been: 131/87, 123/88, 131/87, 125/90, and 123/90. However, there is no edema. Every time I have a urine test, it is normal. What should I do? During this check-up, the doctor prescribed me two boxes of Qi Ju Di Huang oral liquid. Is this medicine effective for high blood pressure? Will it have any impact on the fetus? Thank you!Doctor's answer:
Hello, there are two types of conditions that can cause hypertension in pregnant women: physiological factors and pathological factors. However, regardless of the cause, both increase the risk during childbirth. Most fetuses of pregnant women with gestational hypertension are likely to experience restricted growth, as the resistance in the umbilical artery is relatively high. This can lead to reduced blood supply to the fetus in the uterine cavity, increasing the risk of ischemia and hypoxia. In severe cases, it is generally recommended to terminate the pregnancy around 34 weeks, as it is relatively dangerous for the fetus in the uterine cavity. Postpartum, severe cases may be affected, while mild cases are usually not a major issue. Once a pregnant woman discovers her blood pressure has risen, she should focus on the following three aspects:1. Strengthen prenatal examinations;
2. Actively manage blood pressure;
3. Treating hypertension in pregnant women should not rely solely on antihypertensive medications, as excessively using strong antihypertensive drugs can be harmful to both the mother and the fetus. Additionally, excessive use of sedatives is not advisable.