High Blood Pressure during Pregnancy

Hypertension during Pregnancy: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin, mucous membranes, and sclerae (white part of the eye) [edema (water retention)?] Auscultation (listening) of the heart. Auscultation of the lungs [possible symptom in preeclampsia: pulmonary edema; here … Hypertension during Pregnancy: Examination

Hypertension during Pregnancy: Test and Diagnosis

Laboratory parameters of the 1st order – obligatory laboratory tests. Small blood count [hematocrit ↑, platelets ↓] Inflammatory parameters – CRP (C-reactive protein) [HELLP syndrome: detectable in up to 62% of cases and not a result of infection] Urine status including sediment, if necessary urine culture (pathogen detection and resistogram, that is, testing of suitable … Hypertension during Pregnancy: Test and Diagnosis

Hypertension during Pregnancy: Drug Therapy

Therapeutic Targets The goal of drug therapy is to normalize blood pressure levels and thus prevent complications (esp. eclampsia, cerebral hemorrhage, cardiovascular renal and pulmonary failure). It is reserved for severe forms of progression and should be performed exclusively under inpatient conditions. The current S2k guideline recommends lowering blood pressure only at values from 150-160/100-110 … Hypertension during Pregnancy: Drug Therapy

Hypertension during Pregnancy: Diagnostic Tests

Obligatory medical device diagnostics. Repeated blood pressure measurements, if necessary long-term blood pressure measurement (24-hour blood pressure measurement). Cardiotocography (CTG; cardiac tone contraction recorder) – a procedure for simultaneous (simultaneous) registration and recording of the heartbeat rate of the unborn child and labor (Greek tokos) in the pregnant woman. Abdominal ultrasonography (ultrasound examination of abdominal … Hypertension during Pregnancy: Diagnostic Tests

Hypertension during Pregnancy: Micronutrient Therapy

Within the framework of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used to prevent (prevent) eclampsia. Magnesium The above vital substance recommendations (micronutrients) were created with the help of medical experts. All statements are supported by scientific studies with high levels of evidence. For a therapy recommendation, only clinical studies with the … Hypertension during Pregnancy: Micronutrient Therapy

Hypertension during Pregnancy: Prevention

To prevent hypertensive pregnancy diseases (hypertension in pregnancy), attention must be paid to reducing individual risk factors. Behavioral risk factors Diet Micronutrient deficiency (vital substances) – see Prevention with micronutrients. Overweight (BMI ≥ 25; obesity) – with obesity from a BMI of 35 quadruples the risk. Environmental pollution – intoxications (poisonings). Air pollutants: particulate matter … Hypertension during Pregnancy: Prevention

Hypertension during Pregnancy: Symptoms, Complaints, Signs

Hypertension (high blood pressure) in pregnancy (hypertensive illness of pregnancy, HES) leading symptom. Hypertension (a blood pressure of ≥ 140 mmHg systolic and/or 90 mmHg diastolic on two measurements taken 4-6 hours apart after 20 weeks’ gestation (SSW) in a pregnant woman with a previously normal blood pressure → hypertensive pregnancy illness, HES) The following … Hypertension during Pregnancy: Symptoms, Complaints, Signs

Hypertension during Pregnancy: Causes

Pathogenesis (disease development) The exact pathophysiologic processes of hypertensive disorders in pregnancy have not been fully elucidated. Several hypotheses have been developed that have three mechanisms in common: Vessels are thought to be prone to vasospasm (vascular spasm) In addition, there is likely to be an immunological component, as these disorders are most common in … Hypertension during Pregnancy: Causes

Hypertension during Pregnancy: Therapy

Hypertensive pregnancy disease requires presentation to the clinic under the following indications: Hypertension High blood pressure; (≥ 160 mmHg systolic or ≥ 110 mmHg diastolic). Proteinuria (increased excretion of protein in urine) and severe weight gain in the 3rd trimester (third trimester) ≥ 1 kg/week). Clinical suspicion of HELLP syndrome (persistent upper abdominal pain). Impending … Hypertension during Pregnancy: Therapy

Hypertension during Pregnancy: Consequential Diseases

The following are the most important diseases or complications that may be contributed to by hypertensive pregnancy diseases (hypertension in pregnancy): Respiratory system (J00-J99) Pulmonary edema – accumulation of water in the lungs. Eyes and eye appendages (H00-H59). Ablatio retinae (retinal detachment) (2.2-fold). Retinopathia eclamptica gravidarum – changes in the retina (retina) with edema (swelling) … Hypertension during Pregnancy: Consequential Diseases

Hypertension during Pregnancy: Medical History

Medical history (history of illness) represents an important component in the diagnosis of hypertensive disorders of pregnancy (hypertension in pregnancy). Family history Is there hypertension in your family? Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). Do you suffer … Hypertension during Pregnancy: Medical History

Hypertension during Pregnancy: Or something else? Differential Diagnosis

Blood, blood-forming organs – immune system (D50-D90). Hemolytic uremic syndrome (HUS) – triad of microangiopathic hemolytic anemia (MAHA; form of anemia in which erythrocytes (red blood cells) are destroyed), thrombocytopenia (abnormal decrease in platelets/platelets), and acute kidney injury (AKI); Mostly occurring in children in the context of infections; most common cause of acute renal failure … Hypertension during Pregnancy: Or something else? Differential Diagnosis