Locked FAQ Members Login

Why are they calling this Chronic Hypertension?

Do you have a burning question you just have to ask our Medical Board Experts about hypertensive pregnancies? Please email your question to expert@preeclampsia.org Keep in mind, however, that we won't be able to answer every question and our docs can't offer medical advice and won't be able to comment on specific medical cases.

Why are they calling this Chronic Hypertension?

Postby expert on call » Sat Feb 15, 2003 12:47 am

by expert on call (297 Posts), Sat Feb 15, 2003 12:47 am

Hi,
I had preeclampsia with my first baby and was induced at 33 weeks. I am now pregnant again and at my 8 week visit my BP was 160/110. Now I am on Aldomet and bedrest. I am confused because my diagnosis is "chronic hypertension", although normally my BP is 120/80 when I am not pregnant. My doctor says that I have a 20% chance of developing preeclampsia with this pregnancy, but I feel like this is already the beginning of it. Can preeclampsia start this early? Why is my condition diagnosed as chronic hypertension? Will my BP continue to rise as my pregnancy progresses?
Thank you,
Lisa Wydra RN

expert on call
Registered User
 
Posts: 297
Joined: Sat Feb 15, 2003 09:30 am

Re : Why are they calling this Chronic Hypertension?

Postby expert on call » Sat Feb 15, 2003 12:48 am

by expert on call (297 Posts), Sat Feb 15, 2003 12:48 am

Women who develop preeclampsia - especially preterm, have an increased risk for the development of chronic hypertension or other cardiovascular disease. Preeclampsia did not create the problem; rather it revealed your tendency, (probably genetic), to be predisposed to cardiovascular disease.

Between pregnancies, you aged a little. You may have gained weight. You may have just advanced in a natural process towards chronic hypertension.

Hypertension at 8 weeks would not be preeclampsia. It is chronic hypertension. The presence of hypertension at this point in pregnancy does represent a risk for the development of preeclampisa. Given how high your blood pressure is, you may need a drug that is more potent than aldomet. There are many safe choices. In our experience, there are women who have a first trimester surge in BP that does calm down to some degree in the second trimester. But, it does come back later. You may benefit from consultation with a specialist in maternal fetal medicine, (www.nasshp.com, www.smfm.org).


Expert on Call

Information provided on this site is provided for informational purposes only and is not meant to substitute for the advice provided by your own physician or other medical professional. You should not use the information contained herein for diagnosing or treating a health problem or disorder, or prescribing any medication. The Preeclampsia Foundation presents all data as is, without any warranty of any kind, express or implied, and is not liable for its accuracy, for mistakes or omissions of any kind, nor for any loss or damage caused by a user's reliance on information obtained on the site. Professional opinions on this condition vary greatly. The Preeclampsia Foundation endorses no one course of treatment or "cure". Responses generated by our Experts to specific questions are based on information anonymously submitted to this site via email, are not based on a complete review of any patient’s medical records and should not be construed as the only reasonable expert response to the info submitted and/or the scenario described.
expert on call
Registered User
 
Posts: 297
Joined: Sat Feb 15, 2003 09:30 am


Return to Ask the Experts

Who is online

Users browsing this forum: No registered users and 2 guests