High blood pressure is a common health issue that affects many people. However, for women who are pregnant or have recently given birth, hypertension is a condition that requires careful monitoring. If not properly managed, high blood pressure after delivery can lead to severe complications, including life-threatening conditions.
Understanding Hypertension After Childbirth (Postpartum Preeclampsia)
Hypertension that develops after childbirth is referred to as postpartum preeclampsia. This is a rare condition that occurs when high blood pressure and an excessive amount of protein in the urine appear shortly after giving birth.
In most cases, postpartum preeclampsia develops within 48 hours following delivery. However, symptoms can also arise as late as six to eight weeks postpartum.
Some common symptoms of postpartum preeclampsia include:
- High blood pressure reaching 140/90 mmHg or higher
- Headaches or dizziness
- Blurred vision
- Pain in the upper abdomen
- Persistent fatigue and weakness
- Muscle or joint discomfort
- Swelling in the legs (edema)
- Sudden weight gain
If you experience any of these symptoms after giving birth, it is essential to seek medical attention promptly, as postpartum preeclampsia can lead to seizures and other complications.
Risks of Hypertension After Delivery (Postpartum Preeclampsia)
Postpartum preeclampsia does not resolve on its own and requires immediate medical intervention. This condition is considered a medical emergency, and if you experience dizziness, blurred vision, or other signs of postpartum preeclampsia, you should inform a healthcare provider right away. If symptoms appear after you have returned home, visiting a doctor as soon as possible is crucial.
Untreated postpartum hypertension can lead to severe complications, such as:
- Permanent organ damage, affecting the brain, liver, and kidneys
- Seizures
- Fluid buildup in the lungs (pulmonary edema), which can cause respiratory distress and reduced oxygen levels in the blood
- Stroke due to impaired blood flow resulting from blocked or ruptured blood vessels
- Formation of blood clots
- HELLP syndrome, a condition characterized by red blood cell destruction (hemolysis), elevated liver enzymes, and a dangerously low platelet count
- Death
Managing Postpartum Hypertension (Postpartum Preeclampsia)
Treatment for postpartum hypertension typically involves medications to lower blood pressure. In addition to antihypertensive drugs, doctors may also prescribe:
- Anti-seizure medications, such as magnesium sulfate, to prevent seizures
- Anticoagulant (blood-thinning) medications to reduce the risk of clot formation
Postpartum preeclampsia is a condition that all expectant mothers should be aware of. Although the exact cause remains unknown, certain risk factors increase the likelihood of developing postpartum hypertension. These include a history of hypertension, obesity, multiple pregnancies, and pregnancy at the age of 40 or older.
Since the exact cause is unclear, no specific prevention method has been identified. However, women with risk factors should undergo routine health check-ups both during pregnancy and after childbirth to minimize potential complications. If you have concerns about hypertension-related issues during pregnancy, you can consult a doctor or use the consultation feature available on the Ai Care application.
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- dr Hanifa Rahma
Clevaland Clinic. Postpartum Preeclampsia. Available from: https://my.clevelandclinic.org/health/diseases/17733-postpartum-preeclampsia
Mayo Clinic. Postpartum Preeclampsia. Available from: https://www.mayoclinic.org/diseases-conditions/postpartum-preeclampsia/symptoms-causes/syc-20376646
UPMC. Life Changing Medicine. Pregnancy-induced Hypertension (Postpartum Hypertension). Available from: https://www.upmc.com/services/heart-vascular/conditions-treatments/postpartum-hypertension#
UTSouthwestern Medical Center. Postpartum hypertension: When a new mom's blood pressure is too high. Available from: https://utswmed.org/medblog/postpartum-high-blood-pressure/