Hypotension during pregnancy | Pregnancy complications

Hypotension during pregnancy

Too low a blood pressure (< 100/60mmHg) is more common during pregnancy than too high. The majority of cases are due to an inherited lower blood pressure, which is relatively harmless. It has been proven, however, that affected pregnant women are more likely to experience complications during birth.

The cause of low blood pressure is considered to be the hormone-induced dilatation of the veins. Symptoms occur in the form of dizziness, tiredness and freezing. Many women also suffer from constipation and varicose veins (varicosis).

In the fetus (unborn child), lack of blood circulation in the placenta can lead to growth disorders. Therapeutically, pregnant women are advised to increase their exercise and salt intake, stimulate their circulation by alternating showers and wear support stockings. It may also be necessary to use medication.

Too high blood pressure can also become dangerous during pregnancy and lead to complications. The associated clinical pictures are also summarized under pregnancy poisoning. During pregnancy there are some changes that can promote infections in the urinary tract (cystitis).

Due to its increasing size, the uterus can clamp the ureters (S. Conducting Urinary Tract), causing the urine to drain more poorly and possibly back up to the kidneys. These circumstances and the changes in the urine during pregnancy in terms of pH and the composition of proteins and sugars provide a good environment for potential pathogens. The most harmless complication is the asymptomatic presence of bacteria in the female urinary tract.

About one in ten pregnant women is affected.However, an acute bladder infection can quickly develop, which manifests itself by frequent and painful urination of small amounts of sometimes bloody urine and lower abdominal pain. This is why some women also believe that pain when urinating is a sign of pregnancy, but it is not a sign of pregnancy, but may occur more frequently during pregnancy. In a quarter of the cases this results in inflammation of the renal pelvis.

In contrast to cystitis, high fever and flank pains occur in addition. As with bacteria in the urine and a cystitis a one-week administration of antibiotics and regular drinking is prescribed. In addition, physical rest is recommended in the case of inflammation of the renal pelvis.