Pregnancy Complications: Gestational Hypertension

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The existence of hypertension may occur before being pregnant but eventually it develops to a pregnancy complication in the long run during pregnancy known as gestational hypertension (GH). The main goal of all health care providers and the whole medical team is to aim to have a pregnant woman deliver a healthy baby without any complications. Unfortunately pregnancy complications may still occur during any period of pregnancy such as antepartum period, intrapartum period, postpartum period, and immediate neonatal period. Close observation and nursing care plans pertaining to GH must be provided for safe pregnancy. What is gestational hypertension (GH)? GH is usually developed around the 20th week of gestation without the presence of proteinuria. A blood pressure of 140/90 mm Hg or above is likely to be considered hypertension in pregnancy but the blood pressure turns to normal by six weeks post partum. 5% to 7% of pregnancies have hypertension complications which cause maternal and fetal morbidity when left untreated. (Lindheimer , 2008). The main cause of GH is still unknown but the only cure is by giving birth (post partum period). The risk factors of developing GH in pregnant women are very important to know such as obesity, women aged 35 or more, history (hx) of diabetes mellitus, hx of hypertension, hx of renal disease, adolescent pregnancy, first pregnancy, thrombophilis, multiple gestation, and abnormal placenta. By determining the risk factors of GH the likelihood of severe complications may be avoided and monitored. The signs and symptoms of GH complications in antepartum period of pregnancy is closely monitored and assessed. There are several classic signs of GH during pregnancy such as ... ... middle of paper ... ...a, kidney failure, and possible convulsions. Magnesium sulfate is still continuing at this time to prevent the convulsion to occur. The mother and baby are monitored for 48 hours postpartum. The baby must be closely monitored as well, keeping the baby safe and warm. Breastfeeding is not recommended until 12 hours because of the administration of the magnesium sulfate. Formula feeding is given to the baby instead. With the help of the health care team, pregnancy complications can be minimized and controlled significantly. Severe complications can be avoided with the mother’s compliance along with the family and friends support to the care plan given. The nurses should help the mother and family to cope, to stay positive and to stay strong. Trusting and believing that nothing will go wrong can really help with the process of controlling any complications.

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