Pregnancy induced hypertension syndrome 1, mild pregnancy induced hypertension
The main manifestation is a slight increase in blood pressure, which may be accompanied by mild edema and microalbuminuria. Expectant mothers have no obvious discomfort. This stage can last for several days to several weeks, and it can develop gradually or deteriorate rapidly.
Edema can be dominant or recessive. Dominant edema can be divided into grade ⅰ according to its degree. ~Ⅲ? ; If it is recessive edema, it only shows abnormal weight gain (that is, expectant mothers gain more than 0.5 kg per week).
2. Moderate pregnancy-induced hypertension
Moderate pregnancy-induced hypertension developed on the basis of mild, and the blood pressure, urinary protein and edema were worse than mild, but the expectant mother still had no abnormal feeling at this time.
Blood pressure is further increased, but not more than 21.3/14.7 kpa (160/10/0 mmhg), urine protein is increased, accompanied by edema, and there may be mild symptoms such as dizziness.
3. Severe pregnancy-induced hypertension syndrome
Severe pregnancy-induced hypertension is the most serious stage. Will blood pressure rise? 2 1.3/ 14.6 kPa, urine protein+++,the degree of edema of expectant mothers can be light or heavy, and ascites can occur in severe cases. At the same time, expectant mothers feel dizzy, headache, blurred vision, pain in the right upper abdomen, shortness of breath, palpitation, chest tightness, nausea and vomiting. If not treated in time; Expectant mothers may have convulsions, accompanied by coma and loss of consciousness. Repeated convulsions may occur, which may lead to bites, falls, and even fractures of the mouth, lips and tongue. This may occur before delivery, during delivery and after delivery. It is very harmful to mother and baby, even endangering their lives.
What about pregnancy-induced hypertension? Medical treatment of pregnancy-induced hypertension.
1, general processing
(1) Rest: Mild pregnancy-induced hypertension can be treated in hospital or at home.
(2) Close monitoring of maternal and infant conditions: The expectant mother should be asked if she has any symptoms such as headache, vision change and epigastric discomfort. Measure your weight and blood pressure every day. Check urine protein, blood pressure, fetal development and placental function regularly.
(3) Intermittent oxygen inhalation: It can increase oxygen content and improve oxygen supply to major organs and placenta.
2, antihypertensive therapy
Objective: To prevent severe maternal and fetal complications such as eclampsia, cardiovascular and cerebrovascular accidents and placental abruption. The depressurization process should be stable and not fluctuate too much.
Target blood pressure: the expectant mother has no complicated organ function damage, and the systolic blood pressure is controlled at 130- 155mmHg, and the diastolic blood pressure is controlled at 80- 105mmHg. The expectant mother complicated with organ injury should control the systolic blood pressure at 130- 139mmHg and the diastolic blood pressure at 80-89mmHg. In order to ensure blood perfusion of uterus and placenta, blood pressure should not be lower than 130/80mmHg.
3. Termination of pregnancy
The only treatment for pregnancy-induced hypertension is to give birth to a fetus. If the fetus has not reached the expected date of delivery, the doctor will advise the expectant mother to stay in bed, eat healthily and take antihypertensive drugs. If the expectant mother has received treatment, but the situation is still deteriorating, it may be necessary to have a premature operation to deliver the fetus.
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