Hypertension During Pregnancy

By Reginia Dodson | UAB Community Health and Human Services Intern

Photo by Jessica Monte on Pexels.com

Pregnancy alone is a lot to deal with for women, but during pregnancy, a lot of health issues can develop, including high blood pressure. There are different forms of high blood pressure for pregnant women, depending on when the disease develops. Chronic hypertension, gestational hypertension, and preeclampsia/ eclampsia are the three different forms. “Chronic hypertension means having high blood pressure before you get pregnant or before 20 weeks of pregnancy. Women with chronic hypertension can also get preeclampsia in the second or third trimester of pregnancy” (CDC). Chronic hypertension usually indicates that the mom had high blood pressure before or early in the pregnancy. For gestational hypertension, “This condition happens when you only have high blood pressure during pregnancy and do not have protein in your urine or other heart or kidney problems. It is typically diagnosed after 20 weeks of pregnancy or close to delivery. Gestational hypertension usually goes away after you give birth. However, some women with gestational hypertension have a higher risk of developing chronic hypertension in the future” (CDC). “Preeclampsia happens when a woman who previously had normal blood pressure suddenly develops high blood pressure and protein in her urine or other problems after 20 weeks of pregnancy. Women who have chronic hypertension can also get preeclampsia. Preeclampsia happens in about 1 in 25 pregnancies in the United States. Some women with preeclampsia can develop seizures, called eclampsia, which is a medical emergency” (CDC). I cannot pinpoint which sounds the most frightening—maybe pre-eclampsia since it can cause seizures, opening up many problems. Regardless, bringing a life into the world is risky, but knowing that health issues can arise because you share your body to birth a baby, can make a person pretty cautious.

References

https://www.cdc.gov/bloodpressure/pregnancy.htm


Preeclampsia Prevention in African American Women

Ashley Peoples | UAB School of Education Community Health & Human Services Intern

Photo by Thiago Borges on Pexels.com

Preeclampsia is a condition where the blood pressure of a pregnant women increases beyond the normal range. So, how do African American women prevent preeclampsia? The first step to preventing preeclampsia is education.

Maintaining blood pressure is one of the keys to preventing preeclampsia and is something African American should be aware of. The article “Preeclampsia” states women who have a top blood pressure that is 140 or greater and bottom blood pressure of 90 and greater are at higher risk (Karrar & Hong, 2023). The CDC suggests women buy a at home blood pressure machine, and keep it monitored.

Karrar and Hong states “Like hypertensive disorders, the incidence of preeclampsia is correlated to ethnicity and race, most prevalent among African American”. Exercise is another preventive method for preeclampsia. Exercise can improve blood pressure and help keep it maintained. The BMC Public Health states “After a 12-week exercise intervention among healthy and nonactive pregnant women, the changes in resting blood pressure between intervention and baseline were assessed, and the researchers found that regular, long-term physical exercise significantly reduced resting systolic blood pressure” (Zhu et al., 2022).

I encourage all African American women to who are pregnant (or planning to get pregnant) to educate themselves on preeclampsia. I hope that this blog can help many African American women avoid the risks that come with preeclampsia. When we educate ourselves, we make a difference in our own health.

References:       

Karrar, S., & Hong, P. (n.d.). Preeclampsia – statpearls – NCBI bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK570611/

Centers for Disease Control and Prevention. (2023, June 19). High blood pressure during pregnancy. Centers for Disease Control and Prevention. https://www.cdc.gov/bloodpressure/pregnancy.htm

Zhu, Z., Xie, H., Liu, S., Yang, R., Yu, J., Yan, Y., Wang, X., Zhang, Z., & Yan, W. (2022). Effects of physical exercise on blood pressure during pregnancy. BMC Public Health, 22(1). https://doi.org/10.1186/s12889-022-14074-z