Is it easy to recover from gestational hypertension after childbirth?

It is very important for pregnant women to recover after giving birth, because if they do not rest well during this period, it will have an adverse effect on their future life. Some pregnant women may even suffer from gestational hypertension. In order to let everyone know more clearly what gestational hypertension is, let's first look at whether it is easy to recover from gestational hypertension after childbirth.

The cause of gestational hypertension has not yet been determined, but it is generally believed to be related to the following factors.

(1) Uteroplacental ischemia Multiple pregnancy, polyhydramnios, primipara, excessive uterine dilatation, abdominal wall tension, etc. will increase the pressure in the uterine cavity, reduce or slow down the uterine placental blood flow, cause ischemia and hypoxia, vasospasm and lead to high blood pressure. Some people also believe that after the placenta or decidua tissue is ischemic and hypoxic, a pressor substance may be produced, causing vasospasm and increasing blood pressure.

(2) Immunity and genetics: Pregnancy-induced hypertension in multiparous women is rare in clinical practice. Girls with gestational hypertension are more likely to suffer from gestational hypertension. Some people believe that it is related to recessive genes or recessive immune response genes in pregnant women.

(3) Prostaglandin deficiency Prostaglandins can cause blood vessels to dilate. Generally, pressor and antihypertensive substances in the body are in a balanced state, maintaining blood pressure at a certain level. The vasodilator prostaglandins decrease, the blood vessel walls become more reactive to pressor substances, and blood pressure rises.

The main clinical manifestations of pregnancy-induced hypertension

① High blood pressure: systolic pressure ≥ 17.3 kPa (130 mmHg), or diastolic pressure 12.0 kPa (90 mmHg) or an increase of 4/2 kPa (30/15 mmHg) compared to before pregnancy can be diagnosed. ② Edema, clinically manifested as excessive weight gain, >0.5 kg per week, edema of the lower limbs and abdominal wall, ascites in severe cases, and edema that does not subside after rest. ③ For proteinuria, clean midstream urine should be used as the specimen. Urine protein is ( ) or ( ) or above, or the 24-hour urine protein is more than 5 grams. ④The patient feels headache, dizziness, nausea and vomiting, blurred vision, upper abdominal pain, etc. ⑤ Convulsion and coma: This is the most serious manifestation of the disease and can occur before, during or after delivery. During convulsions, the patient's facial muscles become tense, his jaws clenched, and his eyes fixed and looking straight ahead. This is followed by complete muscle rigidity, violent twitching, respiratory arrest, loss of consciousness, and incontinence. Those with frequent seizures or persistent coma may often die.

Although postpartum recovery from gestational hypertension is not a difficult task, it does not mean that we can ignore the existence of gestational hypertension. The rest and conditioning of pregnant women after delivery are no less than the conditioning during pregnancy. Therefore, during the confinement period, pregnant women still need to pay attention to many things, otherwise it will be bad to suffer from gestational hypertension.

Water breaking during the second trimester

What to do when water breaks in the second trimester

Whether it is in the early stages of pregnancy or in the late stages of pregnancy, we all pay close attention to the living habits, diet and daily routine of pregnant women, but people often ignore the health of pregnant women in the middle stages of pregnancy. Because of this, pregnant women may experience water breaking in the second trimester. So, what is the right thing to do when a pregnant woman's water breaks in the second trimester?

If a pregnant woman's water breaks in the second trimester of pregnancy, the first thing we should do is to calm her down, keep her calm, and then send her to the hospital for treatment in time. After all, only the doctor knows best what to do at this time to be good for the pregnant woman.