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2006-08-23 22:06:10 · 4 answers · asked by fae 1 in Pregnancy & Parenting Pregnancy

4 answers

The only way to get rid of gestational hypertension is to deliver the baby. There are medications that can be administered to help control a woman's blood pressure, like Magnesium Sulfate, but it won't 'cure' the problem. It's not clearly understood why some women develop this condition. It can be dangerous, sometimes leading to seizures, low birthweight babies, etc., so any woman experiencing this condition must be closely monitored by her physician.

2006-08-23 22:18:26 · answer #1 · answered by Answers to Nurse 3 · 0 0

Gestational hypertension is a milder version of toxemia. Frusemide (also spelt fursemide trade named Lasix )20 to 40 mgs a day is very effective. Restriction of salt also is necessary.. Hypotensives should not be used unless recommended by a specialist.

2006-08-24 05:16:25 · answer #2 · answered by J.SWAMY I ఇ జ స్వామి 7 · 0 1

the only cure for it is birth unfortunately.

but the doctor can advise you of a diet to slow the progression and damage to your body. or perhaps if it gets life threatening, your doctor can prescribe pills for you to take.

make sure you are working closely with your doctor and are letting him know everything he needs to know about your condition. and make him explain everything until you understand it fully, you pay the same ammount of money whether he stays in the consultation room with you for 5 minutes or for 30 minutes. so take advantage of the time - dont be intimidated if he tries to rush you.

good luck!

2006-08-24 05:15:40 · answer #3 · answered by rinea 2 · 0 0

The category of prescription drugs known as diuretics are commonly used to treat hypertension. Agents often used include the thiazide diuretics, such as hydrochlorothiazide (HydroDIURIL®), indapamide (Lozol®), and metolazone (Zaroxolyn®); loop diuretics including furosemide (Lasix®), bumetanide (Bumex®), and torsemide (Demadex®); and potassium-sparing diuretics, such as spironolactone (Aldactone®), triamterene (Dyazide®, Maxzide®), and amiloride (Midamor®). Diuretics are usually combined with beta-blockers, such as propranolol (Inderal®), metoprolol (Lopressor®, Toprol XL®), atenolol (Tenormin®), and bisoprolol (Zebeta®), or ACE inhibitors, including captopril (Capoten®), benazepril (Lotensin®), lisinopril (Zestril®, Prinivil®), enalapril (Vasotec®), and quinapril (Accupril®). In addition, calcium channel blockers such as amlodipine (Norvasc®), verapamil (Calan SR®, Verelan PM®), and diltiazem (Cardizem CD®) may be used either alone or in combination with diuretics to treat high blood pressure.

Treatment for GH includes bed rest, restriction of sodium intake, and, if necessary, hospitalization for observation. Intravenous magnesium solutions are occasionally recommended. The definitive treatment is termination of the pregnancy by induced delivery or cesarean section.

Dietary changes that may be helpful
Unlike salt restriction in primary hypertension, a low-salt diet has not been shown to have a significant effect in reducing high blood pressure during pregnancy.5 6 7 As a result, salt restriction is not recommended to women with GH.8

Increased consumption of fish was associated with reduced risk of GH in one preliminary study.9 In this study, the incidence of hypertension during pregnancy was significantly higher in women from communities with lower consumption of fish and lower in women from communities with high fish consumption.

Lifestyle changes that may be helpful
In GH, regular checkups during pregnancy and after delivery are needed for the prevention and early detection of preeclampsia and chronic hypertension.10 11 12

Job stress (lack of control over work pace and the timing and frequency of breaks) has been reported to be detrimental; therefore, reducing job stress may be beneficial in the prevention of GH.13 In a preliminary study, women exposed to high job stress were found to be at greater risk of developing GH than were women with low job stress.14

The common practice of prescribing bed rest for women with GH has been questioned by some researchers.15 In the few studies examining this issue, results have been inconsistent.16 17 While one controlled study found that bed rest reduced progression of GH to severe hypertension,18 evidence is currently insufficient to determine whether bed rest reduces blood pressure in women with GH.

Nutritional supplements that may be helpful
Calcium deficiency has been implicated as a possible cause of GH.19 20 In two preliminary studies, women who developed GH were found to have significantly lower dietary calcium intake than did pregnant women with normal blood pressure.21 22 Calcium supplementation has significantly reduced the incidence of GH in preliminary studies23 and in many,24 25 26 27 28 29 though not all,30 double-blind trials. Calcium supplements may be most effective in preventing GH in women who have low dietary intake of calcium. The National Institutes of Health (NIH) recommends an intake of 1,200 to 1,500 mg of calcium daily during normal pregnancy.31 In women at risk of GH, studies showing reduced incidence have typically used 2,000 mg of supplemental calcium per day,32 33 34 35 36 37 without any reported maternal or fetal side effects.38 39 Nonetheless, many doctors continue to suggest amounts no higher than 1,500 mg per day.

Magnesium deficiency has also been implicated as a possible cause of GH.40 41 42 Dietary intake of magnesium is below recommended levels for many women during pregnancy.43 44 Magnesium supplementation has been reported to reduce the incidence of GH in preliminary45 and many double-blind trials.46 47 In addition to preventing GH, magnesium supplementation has also been reported to reduce the severity of established GH in one study.48 Amounts used in studies on GH range from 165 to 365 mg of supplemental magnesium per day.

Zinc supplementation (20 mg per day) was reported to reduce the incidence of GH in one double-blind trial studying a group of low-income Hispanic pregnant women who were not zinc deficient.49

Antioxidant levels in the blood of women with GH appear to be reduced in some,50 51 52 but not all,53 preliminary studies. No studies have yet been conducted evaluating the effects of antioxidant supplementation on the incidence or severity of GH.

2006-08-24 05:12:29 · answer #4 · answered by aliciamarie88 2 · 0 0

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