Effects of pregnancy-induced hypertension on the fetus

Every pregnant woman will have obvious symptoms of discomfort. What effects will high blood pressure have on the fetus? What adverse effects will it have on the fetus? Now, let the experts introduce to us the impact of gestational hypertension on the fetus. I hope that every pregnant mother will get useful help, and I also hope that it will play a great preventive role for your fetus. Please be sure to check in time and deal with it in time when any abnormalities occur.

The impact of hypertension on pregnancy: Mild and moderate essential hypertension has no obvious effect on the mother throughout the pregnancy, but excessive blood pressure can have adverse effects on the fetus, and some may even endanger the mother's life. The following impacts are included.

The impact of intrauterine growth retardation, miscarriage and stillbirth in pregnancy combined with chronic hypertension on the fetus is related to the blood flow through the uterus and placenta, which can cause intrauterine growth retardation of the fetus. The more severe the hypertension, the smaller the placenta, and the more severe the intrauterine growth retardation of the fetus. If combined with pregnancy-induced hypertension syndrome, the consequences are more serious, with fetal morbidity and mortality 5 times higher than those without complications. Due to the spasm and sclerosis of the maternal arterioles supplying the chorionic space, the blood flow into the chorionic space decreases, the ability of the placenta to maintain normal function decreases, the growth of the fetus is affected, and miscarriage, premature birth or intrauterine fetal death occurs.

Placental abruption About half of patients with placental abruption have vascular disease. Pregnancy complicated by chronic hypertension. Vasospasm and sclerosis, reduced uterine placental perfusion, increase the risk of placental abruption, and increase fetal and maternal mortality. The incidence of placental abruption depends on the duration and severity of hypertension. Therefore, clinically, abdominal pain complaints in pregnant women with chronic hypertension should be taken seriously, and strict clinical monitoring and ultrasound-assisted examinations are needed to determine whether there is disc abruption.

Pregnant women with chronic hypertension have an increased incidence of pregnancy-induced hypertension and the condition is more severe. Symptoms appear early and progress rapidly. Blood pressure will rise significantly within a few days, renal function will deteriorate rapidly, and the response to treatment is poor. It should be taken seriously clinically.

Cerebrovascular accidents Cerebrovascular accidents include cerebral infarction, intracranial hemorrhage and hypertensive encephalopathy. Easily misdiagnosed as eclampsia. Cerebral hemorrhage and hypertensive encephalopathy are the most common.

Postpartum hemorrhage is a common cause of death in pregnant women. Hypertensive pregnant women are prone to postpartum hemorrhage due to vascular degeneration and high arterial pressure.

Renal failure: The glomerular endothelium of patients with chronic hypertension is easily damaged and thickened, and vasospasm leads to glomerular ischemia and necrosis, decreased renal function, and renal failure in severe cases. 3 Clinical treatment of pregnancy-induced hypertension The treatment goal of pregnancy complicated with chronic hypertension is to increase perinatal survival rate and reduce maternal and fetal morbidity. This goal can be achieved through close monitoring during pregnancy, timely termination of pregnancy and careful postpartum management. Treatment principles: From an internal medicine perspective, for patients with simple mild hypertension without target organ damage or other risk factors for coronary heart disease, blood pressure can be followed up regularly and general treatment can be given, including proper rest, a low-salt and low-fat diet, and weight control. If the diastolic blood pressure remains above 95 mm Hg, drug treatment can be given; for pregnant women with moderate to severe hypertension or mild hypertension with associated heart, brain, and kidney target organ damage, antihypertensive drug treatment should be actively initiated. To facilitate the treatment of clinicians, it is advisable to divide the treatment into two types: pregnancy complicated by low-risk chronic hypertension and high-risk chronic hypertension.

The above is what experts have introduced to us about the impact of pregnancy-induced hypertension on the fetus. I hope that every pregnant mother can understand it. Adhering to her own treatment measures for hypertension syndrome can effectively strengthen further treatment, actively deal with every problem, and prevent the occurrence of complications. Let us take various measures immediately to prevent all situations from happening. Let us work together to take preventive measures!