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Pregnancy, Blood Pressure and Complications - Paper No. 2881
Worldwide, pregnant women have the highest mortality rate due to high blood pressure and its complications
Dr. Tahira Kazmi
Blood pressure and its complications have the highest death rate among pregnant women worldwide. Complications from high blood pressure include stroke, kidney failure, blindness, heart attack, fetal death and seizures. Including, when any of these complications occur with blood pressure, the condition is called preeclampsia or eclampsia.
We think what should be done so that every woman, whether she lives in the village or in the city, not only knows about blood pressure and its complications, but also protects her life. Understand that whenever there is a pregnancy, every A monthly check-up is required, but this check-up should be for the mother, not the baby.
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The blood pressure of the pregnant woman should be checked and its record should be kept.
If there is a disturbance in blood pressure, there should be a blood pressure checking device at home. Generally, two types of devices are available in the market. Automatic and manual. Automatic is easy, manual is also difficult to learn. Just remember this. Keep in mind that there are two readings of blood pressure: Systolic and Diastolic.
Commonly, systolic blood pressure is called upper blood pressure and diastolic blood pressure is called lower blood pressure.
Remember a simple formula that the lower blood pressure should not go above 90 and the upper should stay below 150. Another thing that is very important is the urine checkup. Two things are checked in the pregnant woman's urine. First is sugar and second is protein. This is done through a test strip and in one minute the diagnosis of protein or sugar in the urine is also made.
If they are discharged, it means that the alarm bell has been sounded. That is, the pregnancy has started its journey towards high blood pressure and its complications.
In our country, pregnancy check-ups are considered incomplete. In our society, it is a common idea that the baby should not be seen on ultrasound, so this idea is completely wrong. If no abnormality is revealed from the pregnant belly, ultrasound at 9 months. Shouldn't be more than three or four times, but blood pressure and urine check-up should never be neglected.
If your blood pressure is rising, don't put it down to your busyness. You often hear things like, "It must be because I didn't sleep last night," "It must be because That the clothes were washed yesterday evening", "It must have happened because she came back after walking from the market". After listening to all these explanations, we say in response that in this way, we doctors do not have normal blood pressure. Those who wake up at night, work and also go to the markets.
Remember, whenever the blood pressure is high, the medicine must be used under the doctor's advice.
To be safe from blood pressure complications, it is necessary to take medicine, but blood tests should also be done regularly. The goal is the same, whenever a complication starts, to terminate the pregnancy. The meaning of termination of pregnancy is Not that the child should be wasted, but the child should be born, so that the mother is saved.
After termination of pregnancy, most women's blood pressure begins to normalize and in those who do not, medication is continued. If you want to go, then you have to think in what way? Sometimes the situation is such that the best solution is to immediately remove the baby from the womb.
In such cases, if you think of vaginal delivery, it takes a lot of time to start with pain medication and this time can endanger the life of the mother. In such moments, Caesarean section is decided. In this case, the patient's family members do not understand that Why is the doctor doing this? In our experience, if the situation is explained to the relatives, their objections are greatly reduced.
Keep in mind that medication is essential to prevent blood pressure complications. If the baby is not full-term, it is kept in a nursery. Sometimes a premature baby does not survive, but the mother's life is at stake. This sacrifice has to be made. If a pregnant woman suddenly feels dizzy, has a headache, feels nauseous, or has swollen feet, she should still get her blood pressure checked immediately. Believe me, the body always sounds the alarm, so that Can be resolved in a timely manner.
Our message is that pregnant women should check their blood pressure every month. Write it in a notebook and check their urine every time and ask the doctor whether sugar or protein is being excreted in it.
