Patient's question:
5.5 months after discovering preeclampsia, I was hospitalized for 2 months before undergoing induction of labor. I was admitted with blood pressure readings of 140/100, and my urine protein was 3+. I received magnesium sulfate injections. However, my blood pressure control was poor, so later I went home to try and carry the pregnancy forward, but medication didn't help either. In the end, it became unbearable—I had developed ascites, and the umbilical blood flow had disappeared, so I had an induction of labor. It has been 3 months since the induction of labor.Doctor's answer:
Generally speaking, 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. Therefore, if a pregnant woman discovers that her blood pressure is elevated, she must focus on the following three aspects:1. Enhance prenatal check-ups: Prenatal check-ups are usually conducted regularly, starting from the third month of pregnancy. Before the seventh month, a check-up is performed once a month. During the eighth and ninth months, check-ups are done every two weeks. In the final month of pregnancy, a check-up is required every week. Pregnant women with hypertension should increase the frequency of their prenatal check-ups. Ideally, they should have at least one check-up per month before the seventh month and one check-up per week after the seventh month. Additionally, they should be admitted to the hospital earlier when nearing the due date.
2. Active antihypertensive treatment: Treating hypertension in pregnant women cannot rely solely on antihypertensive medications, as excessive use of strong antihypertensive drugs can be harmful to the health of the mother or fetus. Sedatives should also be used sparingly. Generally, safer medications include reserpine, antihypertensive tablets, or compound antihypertensive pills. Chinese herbal medicines like chrysanthemum and roperma can also be used. At the same time, pregnant women should maintain a positive mood, avoid mental stress and emotional excitement; ensure adequate sleep and rest; and maintain a low-salt diet, with daily salt intake not exceeding half a teaspoon, to prevent edema. If edema occurs, diuretic drugs like hydrochlorothiazide should be used.
3. Active treatment:
Medical Advice:
Various diseases of hypertension in pregnant women, such as preeclampsia. Modern medicine holds that if a pregnant woman develops severe and persistent hypertension shortly after conception, which cannot be resolved through treatment, then termination of pregnancy through artificial means should be considered. Similarly, women with hypertension are not suitable for pregnancy if their condition is not controlled. If a pregnant woman develops severe hypertension due to preeclampsia in the second or third trimester, termination of pregnancy or early delivery through surgical means may sometimes be necessary to avoid danger.