The high blood pressure is dangerous for the fetus

Starting from the second trimester, all of the nutrients and oxygen the fetus receives through the vessels of the placenta. With high blood pressure, and blood vessels of the placenta to the fetus spazmiruyutsya constantly receives insufficient amount of nutrients and oxygen.

This state is called feto-placental insufficiency - FPN. FPN leads to the fact that the fetus begins to lag behind in development. But the biggest danger is that the chronic lack of oxygen suffered brain of the fetus. Depending on the extent of such changes after birth (perinatal damage to the nervous system) recovered fully, partially or almost beyond repair, and then the child is permanently disabled.

High blood pressure during breastfeeding

High blood pressure during lactation can cause constant headaches Headache , Insomnia, irritability, and constant anxiety of the mother. This in turn will contribute to the buildup of stress and blood pressure.

High pressure is also fraught breastfeeding breast edema due to spasm of blood vessels and the release of the liquid part of the blood into the surrounding tissue. This will facilitate the compression of the ducts of the breast and froze them in milk, ie lactostasis. And from lactostasis to infectious-inflammatory process in the breast one step - infectious agents usually penetrate the milk ducts through hairline cracks in the nipples.

Treatment of high pressure during pregnancy

Treatment of high pressure during pregnancy should be an occasion only on prescription and under his control. If increased blood pressure is a manifestation of preeclampsia, a woman is usually admitted to the hospital, since this condition can rapidly increase the condition pre-eclampsia and eclampsia. To help in this case is most easily in hospital.

Since most of the drugs that can help reduce blood pressure, into the blood, can pass the placental barrier and get to the fetus, medications prescribed with great caution and only those that are approved for use during pregnancy.

Most often in such cases, the drugs used to reduce blood pressure centrally acting Methyldopa. Resulting in brain metabolite alpha-methyldopa metilnoradrenalin promotes inhibition of the vasomotor center and sympathetic decrease downward (adrenaline) impulses. Hypotensive effect mainly due to the reduction TPR (total peripheral resistance), reduced cardiac output and heart rate. Methyldopa also improves kidney function and has a slight sedative effect. Despite the fairly widespread use of this drug during pregnancy, it is recommended to prescribe with caution, as adequate clinical trials of its effect on pregnant women have been conducted.

We know that the vast majority of drugs that lower blood pressure, get into breast milk, but in varying degrees. Therefore, if the state of health allows the nursing mother (that is, if blood pressure rises slightly) from the medication should be abandoned. In this case, pressure is better to try to correct through diet.

If blood pressure rises or remained stable in high numbers, it is assigned to drug treatment, in which the drugs of choice are methyldopa and nifedipine.

Not recommended to prescribe certain drugs from the group of beta-blockers (atenolol, metoprolol, nadolol - they accumulate in breast milk), diuretics and clonidine (they contribute to a reduction of lactation), ACE inhibitors and angiotensin receptor blockers II (they negatively affect the development of the newborn) reserpine.

Treatment of high pressure High pressure   Pregnancy and breast-feeding may be carried out only on prescription and under his control. Independent woman receiving drugs that reduce blood pressure, should be completely eliminated.

Galina Romanenko

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