High blood pressure, or hypertension, is an increase in blood pressure. You may not experience any symptoms, but some women have headaches, visual disturbances, water retention and/or vomiting.
Although high blood pressure can occur at any time during your pregnancy, it's more common near your due date.
If your blood pressure goes up during your pregnancy, you'll have to visit your healthcare provider more often for additional checks. Your provider may also do blood and urine tests to make sure you aren't developing preeclampsia, a pregnancy complication associated with high blood pressure that occurs in 5 to 8% of pregnancies worldwide. Risk factors include being pregnant with multiples (twins or higher), being pregnant for the first time, being over 35 or under 20 years of age, and having a history of diabetes, high blood pressure or kidney disease.
It's not entirely clear why some women get high blood pressure in pregnancy. Possible causes include autoimmune disorders, blood vessel problems, diet and genetics. Women who are having their first baby, who are over 35 or under 20, or who are having more than one baby are more likely to have high blood pressure. Obesity also increases your risk of hypertension.
In some women, cells from the placenta produce chemicals called vasoconstrictors, which shrink blood vessels. This may cause your blood pressure to rise and your kidneys to retain sodium, leading to water retention.
Your blood pressure should return to normal after your baby is born, but it can take up to 6 weeks. Women with a history of hypertension during pregnancy are at risk of developing cardiovascular disease later in life.
High blood pressure can result in a decreased blood flow to the placenta and baby. If severe, this can restrict the baby's growth and, in that case, you may be delivered early to prevent further problems.
Preeclampsia can also result in early delivery, due to concerns for the baby or the mom. This means the baby may need special care in a neonatal intensive care unit or NICU after birth. The risks involved in this decision are carefully weighed, usually with the help of a high-risk ob/gyn, before any recommendation is made. If delivery isn't the next step, you and your baby will be closely monitored.
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