Patient's question:
My sister, she was already pregnant before, but recently she found out she had high blood pressure. Her child is about to be born, so she is very anxious. She wants to consult whether it is possible to have a normal delivery with gestational hypertension. Thank you for your help.Doctor's answer:
In clinical diagnosis, patients with pregnancy-induced hypertension are usually recommended to attempt a trial of labor. If the trial of labor is successful, a vaginal delivery is performed. If the pregnant woman's systolic blood pressure during pregnancy does not exceed 150 mmHg and diastolic blood pressure does not exceed 100 mmHg; the urine protein test shows a trace (+), and the pregnant woman has good pelvic conditions, and the fetus does not reappear with amniotic fluid aspiration, there is an opportunity to attempt a trial of labor.If the conditions of the mother and fetus do not allow for a trial of labor, a cesarean section can be chosen. For example, if the mother's blood pressure is too high and she cannot tolerate the labor process; if the fetus reappears with amniotic fluid aspiration, the placental function is poor and cannot tolerate the labor process, a cesarean section is also required. Alternatively, if both the fetus and the mother cannot tolerate it, such as pelvic stenosis, fetal macrosomia, or malpresentation, surgical intervention can be performed.