Pregnancy‑Induced Hypertension (PIH)

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It is high blood pressure that ranges from ≥140/90 mmHg in a pregnant woman who had a previously normal blood pressure. It might occur alone or migrate to a more serious conditions like Pre‑eclampsia.

The particular cause is not known yet, but then, the risk increases with:
• Age below 18 or above 35
• Multiple pregnancy (twins)
• First pregnancy
• Obesity
• Family history of hypertension
• Previous history of PIH
• Kidney disease
• Diabetes.

■ Gestational hypertension
• Only high blood pressure
• There is no protein in urine
• Usually mild

■ Pre-eclampsia
Here we have;
• High blood pressure
• Protein in urine
• Swelling of face, hands, legs.

■ Severe pre-eclampsia / Eclampsia
• Convulsions may occur
• Very high BP, this involves emergency.

• Blurry vision
• Constant headache
• Swollen face and hands
• Sudden weight gain
• Upper abdominal pain
• Reduced urine output
• High blood pressure reading

• Preterm birth (Premature birth)
• Poor growth of the fetus in the womb
• A reduced oxygen supply
• Risk of stillbirth(lifeless baby) in severe cases.

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• Ensure to go for regular antenatal monitoring
• Blood pressure should be checked
• Urine test for protein in urine
• Adequate rest (especially lying on left side)
• Reduced the intake of salt
• Doctor could prescribed antihypertensive drugs based on severity.
• Early delivery may be conducted if condition is severe

• Attend antenatal clinic at intervals
• Eat nourishable, balanced diet
• Avoid excessive salt
• Maintain healthy weight
• Report uncommon symptoms early.

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