Pregnancy-induced hypertension can increase risk of kidney failure – What you can do to prevent the condition  |  Photo Credit: iStock Images
New Delhi: It is essential to manage blood pressure during pregnancy as hypertension can not only affect the health of the mother but the baby too. PIH is a High blood pressure which first time occur in pregnancy in otherwise normotensive person. And if this high blood pressure is associated with loss of protein in urine is called preeclampsia. Not only this, but you also be shocked to know that Pregnancy-induced hypertension can give a tough time to your kidneys inviting kidney failure. Dr Sapna Chaudhari Jain, Consultant, Obstetrician & Gynaecologist, Motherhood Hospital, Kharghar, Mumbai, shares insights on how pregnancy-induced hypertension can lead to kidney failure, and what women can do to prevent the condition.
Women, do you often have a nagging headache? Is there chest pain? Or even difficulty in breathing, during pregnancy? Then, you must immediately monitor your blood pressure as it could be Pregnancy-Induced Hypertension, which is a matter of concern and known as Preeclampsia. It is a known pregnancy complication that is accompanied by high blood pressure, proteinuria and signs of damage to other organs such as the liver and kidneys.
Are you aware? Preeclampsia usually begins after 20 weeks of pregnancy in women whose blood pressure had been normal. The symptoms of it are excess protein present in the urine, vision problems, a headache, chest pain, nausea or vomiting, upper abdominal pain, shortness of breath and impaired liver function. Most importantly, your kidney health will go for a toss.
Know how pregnancy-induced hypertension can raise the risk of kidney failure
Preeclampsia is also associated with fluid retention and protein excretion in the urine and is a risk factor for developing kidney failure and end-stage renal disease. Pregnancy tends to cause physiologic changes when it comes to renal health leading to alterations in acid-base, electrolyte, and kidney function. Not only this, but hypertension during pregnancy can also cause chronic kidney disease (CKD) and end-stage renal disease (ESRD) later in life.
If you have pregnancy-induced hypertension then know what you must do
If you are diagnosed with Preeclampsia, then you should pay extra attention to your health. It is essential to measure blood pressure daily; you must also look for proteinuria regularly, opt for blood tests that will help evaluate your kidney and liver health. The amount of injury to other organs depends on the severity of preeclampsia. Moreover, you must follow the guidelines given by your doctor and avoid over-the-counter medication. In case, you already have a kidney disease during pregnancy then you must take necessary precautions.
Screening for preeclampsia
Know the high-risk factors
Uterine artery Doppler (sonography)
Dual marker test also predicts the risk of preeclampsia
So, the patient should be screened in the first trimester. Precautionary measures in screen-positive patients:
- Ecosprin 150mg (a blood thinner)
- Calcium supplements
- Salt restriction
- Yoga meditation
- Regular check-ups
Takeaway message: Because of the association between hypertension during pregnancy and renal health, it is very important that mothers who have hypertension during pregnancy continue to have their renal function monitored even after delivery.
Disclaimer: Tips and suggestions mentioned in the article are for general information purposes only and should not be construed as professional medical advice. Always consult your doctor or a professional healthcare provider if you have any specific questions about any medical matter.