Basic pathological changes of hypertensive disorders complicating pregnancy

Hypertension during pregnancy is a multifactorial disease that may be caused by various basic pathological conditions of the pregnant women and is also affected by environmental factors during pregnancy. The severity of the disease varies during pregnancy, and it may show progressive changes and may worsen rapidly. Before measuring blood pressure, the subject should rest quietly for at least 5 minutes. Take precise measurements while seated or lying down. Pay attention to releasing pressure from your body and that the cuff is the right size. Generally, the blood pressure of the right upper limb should be accurately measured, and the cuff should be at the same level as the heart.

Hypertension during pregnancy is a unique and common obstetric complication that seriously endangers the personal safety of pregnant women and is one of the main causes of adverse birth outcomes such as premature birth, low birth weight, and perinatal death.

Hypertension during pregnancy is defined as a systolic blood pressure ≥140 mmHg and/or a diastolic blood pressure ≥90 mmHg, accurately measured on the same arm for at least 2 times. If the blood pressure is less than 140/90 mmHg, but is 30/15 mmHg higher than the baseline blood pressure, it should not be considered a diagnosis but requires close follow-up. For those who find their blood pressure rise for the first time, the blood pressure should be measured again at an interval of 4 hours or more. If the systolic pressure is ≥140 mmHg and/or the diastolic pressure is ≥90 mmHg in two accurate measurements, hypertension can be diagnosed. For pregnant women with severe hypertension, when the systolic blood pressure is ≥160 mmHg and/or the diastolic blood pressure is ≥110 mmHg, the diagnosis can be confirmed after repeated measurements at intervals of several minutes.

Hypertension test during pregnancy

Hypertension during pregnancy: The following routine physical examinations and follow-up visits should be carried out as necessary: ​​(1) routine blood test; (2) routine urine test; (3) liver function test; (4) kidney function test; (5) electrocardiogram; (6) obstetric color Doppler ultrasound examination. Especially for pregnant women who start prenatal checkups after 20 weeks of pregnancy, pay attention to understanding and eliminating basic diseases and chronic hypertension of pregnant women, and check blood sugar, thyroxine, coagulation function, etc. when necessary.

1. Treatment location: Pregnant women with hypertension during pregnancy can receive treatment at home or through surgery;

2. Rest and diet: Pay attention to rest, preferably lying on your side; ensure a certain amount of protein and calories intake; appropriately limit salt intake.

3. Calmness: Ensure adequate sleep. If necessary, take 2.5-5.0 mg of diazepam before going to bed.