Treatment For Hypertension After Childbirth?
In January 2018, I gave birth 29 weeks prematurely due to PEB with tension 180/110. Until now, my blood pressure is still in the range of 130/90, even though I have already taken 5mg of amlodipine. When I was pregnant, I was given 30 mg of oral medicine. Do I change the medicine so that the blood pressure returns to normal? Thank you for your attention
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Preeclampsia is a condition in which blood pressure increases during pregnancy accompanied by high levels of protein in the urine (proteinuria) as a result of impaired kidney function. This condition can occur at 20 weeks of gestation and can last until after delivery. In most cases, blood pressure will fall back to normal after 48 hours postpartum. However, it can also be found that mothers with high blood pressure persist for up to 6 weeks after delivery, or even more.
The cause of preeclampsia is not certain. However, many experts argue that this is related to abnormalities in the placenta (placenta). Preeclampsia is more likely to occur in women who are pregnant for the first time, have had preeclampsia in a previous pregnancy, are pregnant too young or too old, contain more than 1 fetus, are too far apart between pregnancies, are overweight or obese, or also have a history of certain diseases, such as syndromes. anti-phospholipids, lupus, diabetes, kidney disease, and so on.
Blood pressure that is still high for months after salvation as you experience should be checked directly by a gynecologist. It is possible that the doctor will refer you to a specialist in internal medicine so that further evaluation is possible for other possible causes. If necessary, the doctor will perform a complete blood count and other supporting examinations before determining the appropriate treatment. Regarding drug replacement, the doctor will also determine whether it needs to be replaced or even added. It is not recommended to change drugs without a doctor's examination, especially if you are currently breastfeeding.
Apart from taking medication, dietary adjustment is also one of the keys to the successful treatment of postpartum preeclampsia. Therefore, you should start paying attention to the food you consume. Limit your intake of salt, sugar and caffeine. Expand the condition for vegetables, fruit, and nuts. Also avoid alcohol consumption.
In addition, balance the consumption of drugs and dietary regulation above with regular exercise, manage stress wisely, take regular breaks, maintain ideal body weight, and stay away from smoking.
Hope this helps ..
dr. Nadia Nurotul Fuadah