Posts Tagged ‘high blood pressure’

Preeclampsia can also happen after you’ve given birth

Wednesday, May 30th, 2018

Preeclampsia is a blood pressure condition that only happens during pregnancy and during the postpartum period. Women who have preeclampsia develop high blood pressure and may also have signs that some of her organs, like her kidneys and liver, may not be working normally. When preeclampsia happens shortly after having a baby, it is called postpartum preeclampsia.

Although postpartum preeclampsia is a rare condition, it is also very dangerous. Postpartum preeclampsia most often happens within 48 hours of having a baby, but it can develop up to 6 weeks after a baby’s birth. According to the Preeclampsia Foundation, postpartum preeclampsia can happen to any women, even those who didn’t have high blood pressure during their pregnancy. It can be even more dangerous than preeclampsia during pregnancy because it can be hard to identify.

After your baby is born, your attention is mostly focused on his needs. To identify the signs of postpartum preeclampsia you also need to make sure you are paying attention to your body and how you are feeling. Identifying the signs and symptoms of postpartum preeclampsia and getting help right away is extremely important. Postpartum preeclampsia needs to be treated immediately to avoid serious complications, including death.

Signs and symptoms of postpartum preeclampsia may include:

  • Changes in vision, like blurriness, flashing lights, seeing spots or being sensitive to light
  • Headache that doesn’t go away
  • Nausea (feeling sick to your stomach), vomiting or dizziness
  • Pain in the upper right belly area or in the shoulder
  • Swelling in the legs, hands or face
  • Trouble breathing
  • Decreased urination
  • High blood pressure (140/90 or higher)

What can you do?

  • Go to your postpartum checkup, even if you’re feeling fine.
  • Know how to identify the signs and symptoms of postpartum preeclampsia.
  • If you have any of the previous signs or symptoms, tell your provider right away. If you can’t talk to your provider right away, call the emergency services (911) or ask to be taken to an emergency room.

For more information visit marchofdimes.org

Signs and symptoms of preeclampsia

Tuesday, May 8th, 2018

Preeclampsia is a blood pressure condition that only occurs in pregnancy and during the postpartum period. Women who have preeclampsia develop high blood pressure and may also have signs that some of her organs, like her kidneys and liver, may not be working normally.

Preeclampsia is a serious health problem for pregnant women around the world. It affects 2 to 8 percent of pregnancies worldwide. In the United States, it’s the cause of 15 percent of premature births. Premature birth is birth that happens before 37 weeks of pregnancy. Most women with preeclampsia have healthy babies. But if it’s not treated, it can cause severe health problems for you and your baby.

For most women, preeclampsia happens after 20 weeks of pregnancy. When it happens during the postpartum period, it is usually within 48 hours of having a baby. However, it can develop up to 6 weeks after birth.

One of the best ways to detect preeclampsia is to go to all your prenatal care checkups, even if you’re feeling fine. Preeclampsia sometimes develops without any signs. This means you may have preeclampsia and not know it. During your prenatal care checkups your health care provider will measure your blood pressure and test your urine for protein. In the case of preeclampsia, there’s usually a presence of protein in the urine. 

Signs and symptoms of preeclampsia include:

  • Changes in vision, like blurriness, flashing lights, seeing spots or being sensitive to light
  • Headache that doesn’t go away
  • Nausea (feeling sick to your stomach), vomiting or dizziness
  • Pain in the upper right belly area or in the shoulder
  • Sudden weight gain (2 to 5 pounds in a week)
  • Swelling in the legs, hands or face
  • Trouble breathing

Many of these signs and symptoms are common discomforts of pregnancy. If you have even one sign or symptom, call your provider right away. Without treatment, preeclampsia can cause serious health problems for you and your baby, even death.

If you’re at risk for preeclampsia, your provider may want you to take low-dose aspirin to help prevent it. Talk to your provider to see if treatment with low-dose aspirin is right for you. Visit marchofdimes.org for more information about how to have a healthy pregnancy and baby.

Your preconception to-do list

Monday, April 2nd, 2018

You know that staying healthy during your pregnancy is important. But did you know that having a healthy baby actually starts before you get pregnant? Preconception health is your health before pregnancy. Being healthy before pregnancy can help improve your chances of getting pregnant  and it can help to reduce the chances of complications during your pregnancy. If you’re thinking about getting pregnant, make sure you start to focus on your health at least 3 months before you start trying to conceive. Here are some things you can do:

Schedule a preconception checkup: This is a medical checkup you get before pregnancy. It helps your health care provider make sure you’re healthy and that your body is ready for pregnancy. Your provider can identify, treat, and sometimes prevent health conditions that may affect your pregnancy.

Take a multivitamin with 400 micrograms of folic acid: Folic acid is a B vitamin that every cell in your body needs for healthy growth and development. If you take it before and during early pregnancy, it can help protect your baby from birth defects of the brain and spine called neural tube defects.

Review your family healthy history: Your family health history is a record of any health conditions that you, your partner and everyone in your families have had. Your family health history can help you and your provider look for health conditions that may run in your family. Use the March of Dimes Family Health History Form to gather information.

Get to a healthy weight: You’re more likely to have health problems during pregnancy if you’re overweight or underweight. Talk to your provider about what is a healthy weight for you.

Don’t smoke, drink alcohol, or use street drugs: All of these can make it harder for you to get pregnant and they’re harmful to your baby when you do get pregnant. Tell your provider if you need help to quit.

Review medications that you take: Some medications are not safe to use when you’re pregnant but there may be other alternatives.  Don’t stop taking any prescription medicine without your provider’s OK. Stopping certain medicines, like medicines for asthma, depression or diabetes, can be more harmful to you or your baby than taking the medicine. Talk to your provider about the medications you take.

Get treatment for health conditions: This includes making sure chronic conditions like diabetes or high blood pressure are under control. Your provider can also check for infections, including sexually transmitted infections (STIs). Some STIs can be passed to your baby during pregnancy or a vaginal birth.

Get vaccinated: Make sure you are caught up on all of your vaccinations before pregnancy. Infections like chickenpox and rubella (also called German measles) can harm you and your baby during pregnancy.

Stay safe from viruses and infections: Wash your hands well (especially after contact with any bodily fluids or raw meats), avoid undercooked meats, let someone else change the litter box, and don’t share food, glasses, or utensils with young children.

 

Your heart health and pregnancy

Friday, February 2nd, 2018

If you have a condition related to your heart, such as high blood pressure or heart disease, you may be worried about how it could affect a pregnancy. The good news is that by taking precautions and managing your health now, you and your health care provider can make sure you’re ready for pregnancy.

High blood pressure

A condition such as high blood pressure can cause preeclampsia and premature birth during pregnancy. High blood pressure can put extra stress on your heart and kidneys. This can lead to heart disease, kidney disease and stroke. But managing your blood pressure can help you have a healthy pregnancy and a healthy baby. If you have high blood pressure, reach out to your health care provider at a preconception checkup. This is a medical checkup you get before pregnancy to take care of health conditions that may affect your pregnancy.

You can also:

  • Get to a healthy weight. Talk to your provider about the weight that’s right for you.
  • Eat healthy foods.
  • Do something active every day.
  • Don’t smoke. Smoking during pregnancy can cause problems for your baby, like premature birth. It’s also dangerous for people with high blood pressure because it damages blood vessel walls.

Heart disease

Women with heart disease can have a safe pregnancy with minimal risks. However during pregnancy, your heart has a lot more to do and this extra stress can be a concern.

If you have a congenital heart disease, the best thing you can do is to talk to both your cardiologist and obstetrician before you get pregnant. This will allow you to understand what risks (if any) are involved for your pregnancy. You can also determine if there are any concerns with your heart that need to be fixed prior to pregnancy such as any surgical repairs or medication changes.

Speaking of…

Be sure to ask your provider about any medications you are currently taking at your preconception checkup. Many heart conditions require medications to be controlled and your provider can help you choose one that’s safe for you and your baby.

Bottom line

Taking these steps now will allow you to manage any conditions before you conceive to make sure you’re healthy when you get pregnant.

#ShowYourLove by being your healthiest self

Friday, January 12th, 2018

January is National Birth Defects Prevention Month. Today’s guest post is from Suzanne Woodward, Communications Director at the National Preconception Health and Health Care Initiative (PCHHC), to help raise awareness on the steps women can take to be as healthy as possible before having a baby.

Love it or hate it, January is a great time to reflect, set intentions, and start fresh. The bustle around “New Year, Healthier You” is a great opportunity to let yourself be motivated by and encourage others to take steps toward your health and life goals. What did you love about 2017 that you want to keep in your life? What new experiences or attitudes would you like to welcome into this New Year? What support do you need to make this happen? Is starting a family or growing your family in the cards for 2018? This is the cornerstone theme for the #ShowYourLoveToday consumer health and wellness campaign. Have you heard of it?

Show Your Love aims to help young adults live and grow to their full health potential. For themselves, their families and/or for their future families if they choose to have one.

Why is a health and wellness campaign called “Show Your Love?”
We know that women are busy – often caring for friends, family, colleagues and others before themselves. Taking the time to invest in yourself – to give yourself the same love and respect you give to others – is important. Because by showing love to YOURSELF, you are more likely to have the energy and focus you need to work toward your goals and life plans.

How can you show love for yourself?
You “show your love” in many ways. Some ideas could be taking time to walk, take the stairs not the elevator, pray/meditate, get more sleep, get a physical “tune up” with your health care provider, add a fruit and vegetable to your meal, drink less soda, take a vitamin, learn about your family’s health history, and protect yourself against sexually transmitted infections (all called, STI), sunburn and insect bites. Maybe this is the  year that you will focus on stopping habits like tobacco and binge drinking that may help you cope with stress but don’t help you reach your goals. Take stock of the relationships in your life – do they build you up or take you down? Do you have people in your life who might want to join you in making positive changes?

If a baby is definitely NOT in your future for 2018, make sure that you are happy with your contraceptive plan whether that’s abstinence, an IUD or anything in between. If getting pregnant is on your list then you can show your love to your future baby this year too by taking care of you now.

How can you show love for others?
Some ideas could be as simple as encouraging your loved ones to make ONE healthier choice each day, asking about their goals, sharing your health and wellness tips, supporting their efforts to understand their health, telling YOUR story and influencing others (to name a few!). By showing your love for other, you show love for yourself.

Many health “resolutions” offer a two for one benefit. They are good for women AND lay the foundation for a healthy next generation too.

Whether you ARE planning to become pregnant or NOT in 2018, there are critical steps that can be taken TODAY to improve your own overall health and wellness AND increase the chance of a healthy baby. This January, the Show Your Love campaign is proud to partner with the March of Dimes to raise awareness about the 1 in 33 babies born with a birth defect. While not all birth defects are preventable, practicing self-care before becoming pregnant can reduce the risk of birth defects. Some key areas for birth defect prevention include:

You can find full health and wellness, life and/or reproductive planning checklists here. These checklists can support you with tips to get healthy before, during or after pregnancy.

Show Your Love is a virtual community of young adults striving to live healthier and encouraging each other along the way. Join our Ambassador Network (it’s free) and share your health journey/goals/messages. I will plug: it is a fun group, an easy way to connect and elevate your voice, and we have lots of cool incentives for healthy challenges. Follow and contribute to our conversation on Twitter, Instagram, Facebook using #ShowYourLoveToday.

Show Your Love is led by the National Preconception Health and Health Care Initiative (PCHHC), a public-private partnership of 90+ national organizations working to advance preconception health. PCHHC is hosting a Tweet chat with the March of Dimes and Mother to Baby on January 30, 2-3pm ET. Join us on Twitter using: #Prevent2Protect.

We can’t wait to hear from YOU!

Want more information about PCHHC or Show Your Love? Email Suzanne at Suzannew@med.unc.edu. Connect with her on Twitter and LinkedIn.

Medical reasons you may need a c-section

Friday, August 11th, 2017

A c-section is surgery in which your baby is born through a cut that your doctor makes in your belly and uterus. If your pregnancy is healthy and you don’t have any medical complications, it’s best to have your baby through vaginal birth. However, sometimes your health care provider may suggest that you have a c-section for medical reasons. In these cases, a c-section can help to keep you and your baby safe.

You and your provider may schedule a c-section because of known pregnancy complications, such as:

There are also situations that come up during labor and childbirth that may require you to have an unplanned (emergency) c-section. Here are some possible reasons you may need to have an unplanned c-section:

  • Your baby is too big to pass safely through the vagina.
  • Your baby is in a breech position (his bottom or feet are facing down) or a transverse position (his shoulder is facing down). The best position for your baby at birth is head down.
  • Labor is too slow or stops.
  • Your baby’s umbilical cord slips into the vagina where it could be squeezed or flattened during vaginal birth. This is called umbilical cord prolapse.
  • Your baby has problems during labor, like a slow heart rate. This is also called fetal distress.
  • Your baby has a certain type of birth defect.

Remember, if you’re scheduling your c-section for medical reasons,make sure to talk to your provider about waiting until at least 39 weeks of pregnancy, if possible. This gives your baby the time she needs to grow and develop before birth.

If your pregnancy is healthy and you don’t have any medical reasons to have a c-section, it’s best to have your baby through vaginal birth. But for some women and their babies, a c-section is safer than a vaginal birth. If you have questions or concerns about whether a c-section may be right for you, talk to your health care provider.

Have questions? Send them AskUs@marchofdimes.org.

Why is prenatal care so important?

Friday, July 14th, 2017

Doctor with pregnant woman during check-upGetting early and regular prenatal care can help you have a healthy and full-term pregnancy. However, a recent report shows that the preterm birth rate in the US has increased for the second year in a row. This is an alarming indication that the health of pregnant women and babies in our country is getting worse. As Stacey D. Stewart, president of the March of Dimes states, “Every mother needs healthcare throughout her pregnancy to help avoid preterm birth and birth complications, with the goal of every baby being born healthy.”

So, what can you do to have a healthy pregnancy and a healthy baby? You should call your health care provider to schedule your first appointment as soon as you find out you’re pregnant. Make sure you’re ready to talk to your provider about:

  • The first day of your last menstrual period (also called LMP). Your provider can use this to help find out your baby’s due date.
  • Health conditions. Such as depression, diabetes, high blood pressure, and not being at a healthy weight. Conditions like these can cause problems during pregnancy. Tell your provider about your family health history.
  • Medicines. This includes prescription medicine, over-the-counter medicine, supplements and herbal products. Some medicines can hurt your baby if you take them during pregnancy, so you may need to stop taking it or switch to another medicine. Don’t stop or start taking any medicine without talking to your provider first. And tell your provider if you’re allergic to any medicine.
  • Your pregnancy history. Tell your provider if you’ve been pregnant before or if you’ve had trouble getting pregnant. Tell her if you’ve had any pregnancy complications or if you’ve had a premature baby (a baby born before 37 weeks of pregnancy), a miscarriage or stillbirth.
  • Smoking, drinking alcohol, using street drugs and abusing prescription drugs. All of these can hurt your baby.
  • Stress. Stress is worry, strain or pressure that you feel in response to things that happen in your life. Talk to your provide about ways to deal with and reduce your stress. High levels of stress can cause complications during pregnancy.
  • Your safety at home and work. Tell your provider about chemicals you use at home or work and about what kind of job you have.

Make sure you go to all of your prenatal care appointments, even if you feel fine. Going to all of your checkups gives your provider the chance to make sure you and your baby are healthy and allows you to ask any questions you may have (write them down before your appointment so you don’t forget).

The March of Dimes work to give every baby a healthy start is more vital than ever. We urge everyone concerned about the health of babies to make their voices heard by going to marchofdimes.org.

Headache? Nausea? Could be more serious then you thought

Wednesday, May 3rd, 2017

2014d037_1495We receive many questions from expectant moms who are experiencing symptoms such as headaches or swelling. They worry it might be something serious, like preeclampsia.

Preeclampsia is a kind of high blood pressure some women get after the 20th week of pregnancy or after giving birth.  Along with high blood pressure, a pregnant woman can have signs that some of her organs, like her kidneys and liver, may not be working properly.

Signs and symptoms of preeclampsia include:

  • High blood pressure
  • Protein in the urine
  • Severe headaches
  • Changes in vision, like blurriness, flashing lights, seeing spots or being sensitive to light
  • Pain in the upper right belly area or pain in the shoulder
  • Nausea or vomiting
  • Dizziness
  • Sudden weight gain (2 to 5 pounds in a week)
  • Swelling in the legs, hands and face
  • Trouble breathing

Without treatment, preeclampsia can cause serious health problems for both you and your baby. The condition can cause kidney, liver and brain damage for you and premature birth, intrauterine growth restriction (IUGR) or low birthweight for your baby.

Many of the signs and symptoms of preeclampsia are just normal discomforts of pregnancy.

So how do you know if your symptoms are a sign of something more serious?

Your health care provider can diagnose preeclampsia by measuring your blood pressure and checking your urine for protein – both of these are routinely checked at every prenatal care visit.

If you are diagnosed with preeclampsia, your provider can help you manage most health complications through regular prenatal care. This is why it’s important to go to every appointment, even if you are feeling fine.

So, to know if your severe headache or sudden swelling is cause for concern, reach out to your health care provider. He can determine if your symptoms are normal pregnancy discomforts or something more serious like preeclampsia.

For more details about this serious condition, visit our website.

 

Life-long effects of preeclampsia for mom and baby

Monday, May 2nd, 2016

Pregnant couple with doctorPreeclampsia is serious; it affects 2 to 8 percent of pregnancies worldwide. And it’s the cause of 15% of premature births in the U.S.

Preeclampsia is a condition that can happen after the 20th week of pregnancy or right after you give birth. It’s when a pregnant woman has high blood pressure and signs that some of her organs, like her kidneys and liver, may not be working properly. Some of these signs include having protein in the urine, changes in vision and severe headache.

What does this mean for moms?

If a woman had preeclampsia during a pregnancy, she has 3 to 4 times the risk of high blood pressure and double the risk for heart disease and stroke later in life. She may also have an increased risk of developing diabetes. And for those women who have had preeclampsia and delivered preterm, had low-birthweight babies, or had severe preeclampsia more than once, the risk of heart disease can be higher.

These facts are scary, especially since heart disease is the leading cause of death for women. But having preeclampsia does not mean you will definitely develop heart problems, it just means that this may be a sign to pay extra attention to your health.

What about babies?

Women with preeclampsia are more likely than women who don’t have preeclampsia to have preterm labor and delivery. Even with treatment, a pregnant woman with preeclampsia may need to give birth early to avoid serious problems for her and her baby.

Premature babies and low birthweight babies may have more health problems and need to stay in the NICU longer. And some of these babies will face long-term health effects that include intellectual and developmental disabilities and other health problems.

If you had preeclampsia in the past, there are things you can do now to reduce your future risk:

  • Talk to your health care provider. She can help you monitor your health now to reduce your risk for heart disease later.
  • Get a yearly exam to check your blood pressure, cholesterol, weight, and blood sugar levels.
  • Add activity into your daily routine. No need to run laps around the track, though. Here are some tips to help you get moving, whether you are pregnant or not.
  • Stick to the good stuff. Eat from these five food groups at every meal: grains, vegetables, fruits, milk products and protein. Check out our sample menu for creative ideas.
  • Ask your provider if taking low-dose aspirin daily may be right for you.
  • If you are a smoker, quit. Try to avoid second-hand smoke as well. Tobacco can raise blood pressure and damage blood vessels.

Have questions? Text or email us at AskUs@marchofdimes.org.

Pregnancy after a premature birth

Friday, November 13th, 2015

You may know that having had a premature baby increases your risk to give birth early in your next pregnancy. No one knows for sure what causes a woman to have a premature baby. However, it is important to understand what factors may make you more likely to give birth early and understand how you may be able to reduce your risk.

When you are ready to think about having another baby after you have had a preemie, here are some things to consider:

When to get pregnant again

Getting pregnant too soon after having a baby increases your chance of giving birth early. If possible, wait at least 18 months between giving birth and getting pregnant again. This gives your body time to recover.

Manage preexisting health conditions

Having diabetes or high blood pressure puts you at a higher risk to have a premature baby. Talk to your health care provider about how to best manage these conditions before you get pregnant again. And weighing too much or too little can also be a risk factor. Try to get to a healthy weight before you get pregnant again.

Prevent infections

Having an infection during pregnancy may increase your chance of giving birth early. Always wash your hands thoroughly and practice good hygiene. This won’t prevent all infections, but it can help. Also, get tested for STDs before you become pregnant.

Treatments for preterm labor

Some women may be able to receive progesterone treatment or cerclage in their next pregnancy to reduce their chances of giving birth early again. Talk to your provider to see if these treatments may be right for you.

In the video below, Dr. Siobhan Dolan discusses who may be a good candidate for progesterone treatment:

If you are planning on getting pregnant again, make sure you talk to your health care provider about what you may be able to do to reduce your risk of premature birth. Together, the two of you can make a plan so that hopefully your next pregnancy can be closer to 40 weeks. You can also go to our online community Share Your Story to talk to other women who gave birth early and are planning a pregnancy or are pregnant again.

Have questions? Text or email us at AskUs@marchofdimes.org.