Does hypertension affect pregnancy?Yes !

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For women of childbearing age,mild to moderate hypertension has no effect on fertility,and only severe hypertension has an effect on fertility.Although severe hypertension does not affect marriage,it is easy to be complicated with pregnancy induced hypertension syndrome in the second half of pregnancy,so that blood pressure continues to rise and stroke is easy to occur.For the safety of pregnant mothers,doctors should advise pregnant mothers to take measures to stop pregnancy.In addition, gestational hypertension is also unfavorable to the fetus.Because the blood supply to the placenta is reduced,the fetus can grow slowly and even cause stillbirth.It can also cause placental abruption,seriously threatening the life of mother and child.

Due to the complexity of the October replacement process,pregnancy itself can cause a series of cardiovascular system changes.Therefore,the following special attention should be paid to young hypertensive patients who have not given birth.

1. Check carefully before pregnancy

Women with hypertension should have the following examinations before pregnancy:

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① Determine the cholesterol and triglycerides in the blood to understand the cardiovascular condition, and find the predisposing factors of arteriosclerosis and coronary heart disease. At the same time, conduct electrocardiography and ultrasonic electrocardiography to understand the condition of the heart, judge whether the myocardium is ischemic, whether the left ventricle is fat and thick, take X-ray chest positive film, observe whether the aorta is dilated and prolonged, etc., to understand the vascular condition of the heart.

② Making cerebral blood flow diagram to understand cerebral arteriosclerosis and blood supply is helpful to prevent cerebrovascular complications.

③ Check the renal function. Check the liver urea nitrogen in the blood and test the urine for protein to understand the renal function.

④ Blood glucose, urine glucose and glucose tolerance test were measured to understand whether diabetes was complicated and whether diabetes was detected early.

2. Medication should be cautious

With the younger age of hypertension, there are more and more young hypertensive patients, and many women of childbearing age who suffer from hypertension are also among them. It should be noted that the use of antihypertensive drugs during pregnancy is special, and some antihypertensive drugs may have certain effects on the fetus. For internal medicine patients, good antihypertensive drugs may cause fetal malformation in pregnant mothers. Therefore, hypertensive patients must carefully choose drugs before and after pregnancy. For patients with chronic hypertension who are willing to have children, the treatment plan should be adjusted according to the doctor's advice three months before pregnancy. If used in the first three months of pregnancy, it will increase the risk of severe congenital malformations. For this reason, doctors need to reconsider their medication for women who are pregnant or ready to give birth.