[Production crisis of hypertension pregnant women]
Wang is a 31 -year -old pregnant woman who has been pregnant for 8 months.Suddenly, I suddenly felt the lower abdomen pain at 2 am a day, and I had some bleeding. I hurried to the hospital for treatment.After the examination, it was found that Wangs blood pressure rose severely to reach 180/110 mm Hg. There was protein in the urine. The laboratory indicated abnormal liver and kidney function. The ultrasound examination also found that the placenta attached to the uterine placenta was bleeding.Doctors comprehensively judged that Wang had severe premature placental peeling with severe eclampsia.This is a very serious emergency that needs to be performed immediately, otherwise the life of adults and children will be threatened.
During the operation, the pre -dircation of the pregnant woman caused heavy bleeding early.Newborn births, less than 2,000 grams of weight, and severe asphyxia, hypoxemia, acid poisoning, premature sepsis, abnormal coagulation function, etc.During the diagnosis and treatment, the critical situation has caused the medical team and the family members of the patients.Fortunately, after many days of hospitalization, the mother and son were finally discharged from the hospital.
Looking back on this case, we found the root cause of the problem.The pregnant woman was overweight before pregnancy, but there were no abnormal performance in early pregnancy.This allows pregnant women to relax their health management. During pregnancy, there are irregular diet, staying up late, and less exercise during pregnancy.By 6 months of pregnancy, pregnant women have high blood sugar and excessive weight. At 7 months of pregnancy, blood pressure also begun to appear abnormal, reaching about 140/80 mm Hg.However, none of these abnormalities attracted the attention of pregnant women and family members, and eventually happened at the beginning of the article at the 8 months of pregnancy.
If this pregnant woman can pay attention to the scientific diet and regular life during pregnancy, if an early stage of the blood pressure is abnormal, they will be actively intervened, and the subsequent danger may be avoided.This is not a case clinically. Statistics show that about 7.3%of the pregnant women in my country have high blood pressure, which seriously affects the health of pregnant women and newborns.Therefore, everyone should understand and pay attention to pregnancy hypertension.
Why is pregnancy hypertension?The blood pressure ≥140/90 mm Hg within 5 months of pregnancy is chronic hypertension ; after 5 months of pregnancy, blood pressure increased by 30/15 mm Hg, or ≥140/90 mmHg is pregnancy hypertension .
High blood pressure in pregnant women will affect multiple organs such as the brain, kidney, liver, eyes, as well as aspects such as coagulation and endocrine metabolism.If hypertension pregnant women have liver and kidney dysfunction, it means that the condition has developed to the early stage of eclampsia.If the hypertension pregnant women are convulsive, they may be eclampsia.
High blood pressure in pregnant women also has a lot of adverse effects on the fetus.High blood pressure in the mothers body will lead to insufficient blood supply to the placenta. There may be less amniotic fluid, hypoxia in the palace, limited fetal growth, premature birth and premature fetal peeling.Essence
Who is prone to pregnancy hypertension
At present, the cause of pregnancy hypertension is not clear,The more common factors are the following points:
Heritage. When there are relatives in the family suffer from hypertension, or mothers and sisters suffer from hypertension during pregnancy, pregnant women are more likely to get sick.Pregnant women with a history of hypertension during pregnancy have increased the probability of hypertension during pregnancy.
Pregnant women. The age of pregnant women is ≥40 years old, and the incidence of pregnancy hypertension has increased significantly, 2.39 times that of pregnant women aged 25 to 29.
Ultra -overweight or obesity. Women in pregnancy exceed the recommended growth range of recommendation during pregnancy, and the incidence of hypertension increases by 1.8 times.In 2022, the "Recommended Value Standard for Womens Weight Growth during pregnancy" released by my country recommends that before pregnancy, weight loss, normal, overweight, and obese womens weight gain during pregnancy is 11 ~ 16 kg, 8 ~ 14 kg, 7 ~ 11, respectively Kilograms and 5 ~ 9 kg.
High blood sugar for pregnant women. The risk of high blood sugar and diabetes with high blood pressure during pregnancy increased by 2.48 times.
Nutritional uneven. Insufficient intake of protein, calcium, iron and folic acid, can easily lead to increased blood pressure during pregnancy.During pregnancy, due to the increase in human metabolism and high energy intake, it will increase the risk of overweight, obesity and blood sugar abnormalities, which indirectly leads to increased blood pressure, especially pregnant women who like carbonated drinks.
In addition, contraceptives, heat -relieving analgesic drugs, certain anti -anxiety drugs during pregnancy, and those who use IVF pregnant women may also increase the risk of increased blood pressure to increase blood pressure.Essence
Pregnancy hypertension can prevent
Do a good job of knowledge reserve The palace of marriage must be prepared and planned to avoid older pregnancy as much as possible.There are many ways to obtain pregnancy -related knowledge, including prenatal consultation of professional doctors in hospitals, missionary courses and online health network lectures of offline pregnant womens schools.Through these channels, you can easily obtain the knowledge of pre -pregnancy and pregnancy.
Women should be checked on time after pregnancy. Parents and sisters have hypertension, have previous pregnancy hypertension, and have high blood sugar before pregnancy. They should tell obstetricians and increase the number of delivery examinations as appropriate.
Pregnant womens homes can be equipped with blood pressure meter daily monitoring blood pressure.Once pregnant women have increased blood pressure, or abnormal legs, headaches, blurred vision, abdominal pain, etc., they should go to the doctor in time.
Reasonable diet The idea of "the more the pregnant women eat, the better the fetus is".Pregnant womens diet should be diverse. The purpose is to make carbohydrates, protein and fat foods reasonably. They can eat less meals and 5-6 meals a day.Life rules, breakfast guarantees at 6 ~ 8 oclock.The staple food can be appropriately increased to add coarse grains such as sweet potatoes.Daily intake of sufficient protein, mainly foods with less fat and high -quality protein content such as fish, shrimp, eggs, milk and beans.Through a scientific diet, pregnant women can control the weight during pregnancy to a reasonable growth rate.
In the middle and late pregnancy, pregnant womens demand for calcium and iron will increase. If the amount of iron and calcium in the diet is insufficient, the blood supply and oxygen supply will be reduced.Increase the risk of increased blood pressure.Therefore, pregnant women should consume more foods with rich calcium and iron content, and take iron, calcium tablets and vitamin D properly under the guidance of doctors.
Moderate exercise Pregnant women should conduct physical activity with no less than 30 minutes of medium -intensity per day, mainly low -intensity aerobic exercise, starting from low intensity starting from low intensityStep by step, including walking, swimming, gymnastics, yoga, etc., it is advisable to be 3 to 5 times a week.The heart rate should reach 50%to 70%of the maximum heart rate during exercise. The subjective feeling is slightly fatigue, and it can be restored to normal about 10 minutes after stopping exercise.
Keep it optimistic and cheerful A pleasant and optimistic mood helps reduce the tension of pregnant women, help release stress, maintainBlood pressure is stable.
Make sure enough sleep Pregnant women should ensure that they sleep more than 8 hours a day, avoid staying up late and exhausting.And placental blood circulation, reduce the occurrence of edema, and reduce the risk of increased blood pressure.
Edit: Mu salary Yu Qin Mingrui
School countermeasures: Li Shiyao
Review: Guan Zhongyao and Xu Bingnan
"Original" original certification, author Health News Agency Co., Ltd., visit yuanben.io query [4zm0qdid] to obtain authorization
