Types of High Blood Pressure during Pregnancy

Blood pressure is the force of blood that pushes against the walls of your arteries each time the heart contracts to pump the blood through each parts of the body. Arteries are blood vessels that transport blood from your heart to other parts of the body. If the pressure in your arteries becomes too high, this condition is known as have high blood pressure or hypertension. Hypertensioncan lead to health problems and pose extra pressure on your kidneys and heart, however in most cases hypertension is preventable and treatable. Uncontrolled or severe hypertension during pregnancy when not appropriately treated can cause health risk for you and your fetus. Complications arise from high blood pressure in pregnancy have become more common over the years.Some women have high blood pressure before they get pregnant, others may have high blood pressure for the first time during their pregnancy. Approximately 8 percent of women have some kind of high blood pressure during pregnancy. There are four types of high blood pressure in pregnant women:

  • Chronic hypertension: Chronic hypertension is high blood (over 140/90) pressure that develops before the 20th week of pregnancy or is present much before the woman becomes pregnant or continue to have it after delivery. High blood pressure usually doesn’t have symptoms so it is possible that a woman has high blood pressure for a long time before she gets pregnant, but she doesn’t aware about it until she has first prenatal check-up. Chronic hypertension usually treated with blood pressure medication.
  • Gestational Hypertension: Gestational Hypertension is a high blood pressure that develops after week 20 in pregnancy without the presence of protein in the urine or other changes in liver function.This form of high blood pressure is typically temporary and normally to go away after delivery.However, it can increase the risk of developing high blood pressure later in women life.In some cases, the blood pressure will remain high after the delivery, which results in chronic hypertension. Some women with gestational hypertension finally develop preeclampsia in her later age.
  • Preeclampsia: Preeclampsia is a high blood pressure condition when a pregnant woman has high blood pressure usually after 20 weeks of pregnancy or after giving birth. It is a serious condition that can associate with signs of damage to other organ systems, including liver, kidneys, blood or brain. Untreated preeclampsia can lead to serious health problems for both mother and baby and can develops seizures (eclampsia). Previously, it was diagnosed only if a pregnant woman had protein in her urine and high blood pressure but now it’s quite possible to have preeclampsia without having protein in the urine. Signs and symptoms of preeclampsia include high blood pressure, excessive swelling of the face and hands, weight gain due to fluid retention, blurred vision, severe headaches, sensitivity to light, dizziness, shortness of breath, nausea and having protein in the urine.
  • Chronic hypertension with superimposed preeclampsia: This health complication occurs in women with chronic hypertension before pregnancy. In this condition women develop deterioration high blood pressure and protein in the urineduring pregnancy.

Pregnancy and Opioids

Some women required medicines while they are pregnant. But consumption of most of the medicines are not safe during pregnancy. Many medicines create risks for you and for your baby.It can cause problems for you and your baby whiles you are pregnant, when you missed Opioids. Opioids sometimes known as narcotics are a type of drug. They include strong prescription pain relievers such as hydrocodone, oxycodone, tramadol and fentanyl. The illegal drug heroin is also an opioid.A doctor provider may give you a prescription Opioid to reduce pain caused due to a major injury or surgery. You also may be advised, if you have severe pain from health conditions like cancer. A doctor may prescribe them for chronic pain.

Prescription opioids used for pain relief are usually safe when prescribed by your doctor and taken for a short time. However, dependency and addiction of Opioid can have a potential risk. These risks usually increase when these medicines are misused. Misuse means you are taking someone else’s Opioids or you are not taking the medicines according to yourdoctor’s instructions or you are using high doses of it.

The possible risks of taking opioids during pregnancy?

Taking opioids during pregnancy can cause problems for you and your baby. The possible risks are:

  • Neonatal abstinence syndrome (NAS): Withdrawal symptoms (vomiting, diarrhea, irritability, seizures, fever, and poor feeding) in newborns baby.
  • Loss of the baby either miscarriage (before 20 weeks of pregnancy) or stillbirth (after 20 or more weeks).
  • Gastroschisis – A birth defect of the newborn child’s abdomen, where the intestines stick outside of the body through a hole beside the belly button.
  • Neural tube defects: Birth defects of the Spinal Cord, Brain or Spine.
  • Stunted growth: Which results in low birth weight.
  • Congenital heart defects: Health issues with the structure of the baby’s heart.

Some women require to take opioid pain medicine during her pregnancy’s days. You should first discuss the risks and benefits, if your doctor suggests that you need to take opioids during pregnancy. Then if you and your doctor both decide that you need to take the opioids, you should work together to try to minimize the risks. Some of the ways to minimize the risks are:

  • Consume these for the shortest time possible.
  • Taking as much as least dose that will help you.
  • Meet your doctor for all your follow-up appointments.
  • Contact your doctor as soon as possible if you have side effects.
  • Carefully following your doctor’s instructions for taking the medicines.

Treatments for opioid disorders in pregnancy

If you are pregnant and have an opioid use disorder, do not stop consumption of opioids suddenly. Consult your doctor so you can get help.The treatment for opioid use disorder is medication-assisted therapy (MAT). MAT includes counseling and medicine:

  • Medicine: Medicine can reduce your withdrawal and cravings symptoms. For pregnant women, doctors usually use either methadone or buprenorphine.
  • Counseling: It includes behavioral therapies, which can help you to build healthy life skills,help to change your attitudes and behaviors related to drug use and for getting useful prenatal care guidance.

 

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How is infertility diagnosed in Female?

A woman should be evaluated for any suspected infertility if she is unable to get pregnant after having 12 months of regular and unprotected sexual intercourse. A health care provider will ask basic questions about women health history for exploring root causes of infertility during evaluating of a woman’s fertility health. These questions may include:

  • History of past pregnancies
  • History of irregular menstrual cycles
  • History of abnormal vaginal bleeding or discharge
  • Known or suspected problems with the tubes, uterus or other problems in the abdominal cavity
  • Prior miscarriage cases
  • If she has abnormal vaginal bleeding or discharge
  • If she has a history of previous pelvic surgery or pelvic infection
  • Known or suspected male infertility problems

The evaluation should include the male as well as female partners and should be performed in a focused way to find all relevant factors for infertility. The least invasive methods should be tried first. The following tests may be performed as part of the infertility evaluation:

Hysterosalpingogram (HSG):  A hysterosalpingogram (HSG) is a procedure that uses an X-ray to see if the fallopian tubes are open and to if the shape of the uterine cavity is normal. This procedure usually takes less than 5 minutes and you can go home the same day. This procedure usually has been performed after period but before the ovulation, since it’s less likely that pregnancy occurred during this time.

Transvaginal Ultrasonography: An ultrasound probe is inserted into the vagina that causes sound waves to bounce off organs inside the pelvis to check the uterus and ovaries for abnormalities such as fibroids and ovarian cysts. These sound waves form echoes that are sent to a computer which produces a picture called a sonogram. This test is also called transvaginal sonography and TVS.

Male Partner Semen Analysis: Semen analysis is an important part of the infertility evaluation, although it is obtained from the male partner. A semen analysis provides information about the shape, movement and number of the sperm. A semen analysis is still important even if the male partner has fathered a child before.

Other Blood Tests: Other blood tests can be useful to check prolactin and thyroid-stimulating hormone (TSH) and to identify thyroid disorders and hyperprolactinemia which may cause problems with fertility, repeated miscarriages and menstrual irregularities. A blood test done around day 23 of the woman’s menstrual cycle can identify the amount of a hormone known as progesterone. This test detects whether ovulation has occurred and whether the ovaries are producing normal amount progesterone.

Laparoscopy: Laparoscopy is a surgical diagnostic procedure in which a lighted telescope-like instrument (called laparoscope) is inserted through the wall of the abdomen into the pelvic cavity used to examine the organs inside the abdomen. Laparoscopy allows your doctor to view and analyze inside your body in real time, without open surgery. Your doctor also can receive biopsy samples during this procedure. Laparoscopy should not be the first option in the evaluation of a female patient, as it involved high potential surgical risk and cost. It may be recommended depending on the woman’s health conditions and the results of other tests. How IVF can be a big life changer?

How to Improve Female Fertility?

Many environmental and genetic factors can affect fertility in men and women. However, it is quite possible to improve fertility capability using various natural methods. By following below mentioned methods, a woman can increase their chance of getting pregnant and can able to set the stage for a healthier pregnancy:

Managing stress

Stress is normally bad for our health no matter the circumstance, but it can have an even deeper hampering effect if you’re trying to conceive. For many women, trying to get pregnant can be stressful and stress can further reduce fertility. Do your best to reduce and manage anxiety and tension. Stress level can be measured by alpha-amylase which is directly linked to stress. A study showed that women with higher alpha-amylase levels may have a lower chance of getting pregnant naturally.

Women can increase their fertility by engaging in stress reduction activities. It is suggested that, women who wisely manage their anxiety and depression have a higher chance of becoming pregnant than those who do not. You can also try relaxation techniques like yoga, acupuncture or meditation for managing stress level. Just like you include cooking dinner and walking the dog in your daily schedule, also include stress reducing activities a priority in this list.

Maintain a Healthy Diet and Weight

Antioxidants like zinc and folate can considerably improve fertility for both men and women. Include foods rich in antioxidants (vitamins C and E, folate, beta-carotene and lutein) in your diet like fruits, vegetables, nuts and grains. Including healthy fat in your diet is also important for boosting fertility.

You can keep your reproductive cycle in balance, by ensuring that you’re not overweight or underweight. Obesity can harm your health in many ways, for example it can intervene with your ovulation. But women who are substantially underweight also possess a higher risk of ovulation problems. Whether you trying to lose or gain weight, try to achieve a healthy body mass index (BMI) to help maintain normal ovulation. BMI range of 19 to 24 indicates a healthy weight. Anything below or above this range should be discussed with your health care provider. A medical researcher found that women whose BMI is in the overweight or obese category have a much harder time becoming mother.

Stop smoking and reduce alcohol consumption

Smoking tobacco can interrupt hormone levels in your body and cause menopause to occur at much earlier age. Some study shows that smoking decreases your supply of eggs and ages the ovaries. It also increases the risk of ectopic pregnancy and miscarriage and also harms your cervix and fallopian tubes. Frequent drinking before pregnancy is directly linked to ovulation disorders. While you’re pregnant or planning to become pregnant, it is highly recommended not to smoke and drink alcohol at all to keep risks to your baby to a minimum.

Practice safe sex

Having unprotected sex with multiple partners increases your chances of sexually transmitted diseases (STDs). These diseases can permanently damage your uterus and fallopian tubes. So try to avoid these practices. Surrogacy Vs Adoption

Ovulation Cycle Tracking

Ovulation cycle tracking is a simple procedure that can be helpful to recognize which days are most fertile to conceive. It is done by tracking women hormone cycle to predict when ovulation is probably going to occur.

The rise of hormones from pituitary gland known as “Luteinising Hormone”, trigger the ovulation. This generally occurs 24 hours before ovulation.

Your fertility specialist can detect this hormone surge by carrying out simple blood and ultrasound tests. The specialist then can able to advise you of the suitable time to have sex that will surely give you the best chance of conception. It doesn’t any medicines or invasive fertility treatments and it can provide the far better prediction than the home ovulation predication kits. This procedure only require the female partner needs to visit the clinic for cycle tracking, so there is no involvement of male partner during the procedure and they can remain stay at home.

Importance of sex timing for successful conception

If you’re trying to fall pregnant, the timing of when you and your partner have sex is critical as many couples get this wrong.

The timing of when you and your partner have sex is very much important when you’re trying to get pregnant, but many couples are not aware about this fact. Your menstrual cycle is the most fertile time which can results in the ovulation, before the egg is released from the ovary.

The egg can only survives for just 24 hours after ovulation, while sperm continue fertilizing capability for coming two to three days in the fallopian tubes. Due to this reason, the fertility specialist recommend couples to have sex every two days all around the female’s fertile window which can results in the successful ovulation, as the sperm are ready and waiting for the egg to fertilize when the female ovulates.

You are most likely to miss your fertile window and the opportunity for successful conception in a particular month if you are waiting trying to have sex at exactly the time of ovulation. Due to this fact, tools that help you to identify when you are going to ovulated are only useful to predict when you will possibly going to ovulate next month, assuming your cycles are regular.

Home ovulation kits Vs clinical ovulation tracking

You can identify more accurate and comprehensive overview of your cycle and general fertility possibility by undertaking a combination of ultrasounds and blood tests.

The most home ovulation tests that only measure the luteinising hormone (LH), but in Ovulation Cycle Tracking the specialist measure the quantity of progesterone, estrogen and LH present throughout cycle which enable them to expect ovulation earlier and use the ultrasounds can confirm that there are actually follicles developing.

Dr. Shivani Sachdev Gour (gynecologist and infertility specialist) can help you to conceive naturally with the help of Ovulation Cycle Tracking. She will provide you with professional expert advice regarding this procedure and identify any underlying problems as per your requirement. You can get a valuable advice from her at SCI Healthcare and SCI IVF Hospital and Multispecialty Center.