When blood pressure gets too low, too fast, that can lead to other serious complications.” “About 10% of patients treated with a rapid-IV treatment for very high blood pressure may quickly have very low blood pressures. “Some of these complications may include emergency delivery, blood loss for the mother and may be life threatening for both the mother and baby,” Cleary said. This may lead to serious complications for mother and/or the baby. Severe high blood pressure also raises the risk for complications such as placental abruption, where the placenta, which supplies the baby developing in the uterus with nutrients and oxygen from the mother, detaches from the uterus before the baby is born. Cleary, M.D., who was a fellow in maternal fetal medicine at The Ohio State University in Columbus, Ohio, when the study was conducted.
However, besides rapid-acting, IV medicines for severe hypertension during pregnancy, optimal management for hypertension during the labor and delivery process, has not been studied,” said lead study author Erin M. “We know that bringing down very high blood pressure to a safer range will help prevent maternal and fetal complications. However, some women continue to need blood pressure medication for six weeks after delivery or longer. Delivery of the baby is the only way to start to cure preeclampsia, and symptoms usually go away within days of delivery. It affects up to 8% of pregnancies and increases the risk of stroke, liver or kidney damage and pre-term delivery (delivery before 40 weeks).
A diagnosis of preeclampsia with severe features typically includes systolic blood pressure (the top number in a blood pressure measurement) of 160 mm Hg or higher and/or diastolic blood pressure (the lower number in a blood pressure measurement) of 110 mm Hg or higher, and high protein levels in the urine. The study examined whether treatment with nifedipine, an extended-release blood pressure-lowering medication, leading up to labor and delivery may prevent severe blood pressure levels from developing, and, as a result, avoid the need to administer fast-acting IV medications.Īccording to the American Heart Association, preeclampsia is typically diagnosed after 20 weeks of pregnancy and indicates high blood pressure measures with symptoms such as headaches, vision changes and swelling of the hands, feet, face or eyes. Women treated with the medicine were less likely to experience dangerously high blood pressure that would require treatment with fast-acting medicines including intravenous (IV) medications. 3, 2022 - Women with severe preeclampsia (severe high blood pressure) during pregnancy may be treated with extended-release nifedipine, a blood pressure-lowering medicine, daily during the labor and delivery process, according to new research published today in Hypertension, an American Heart Association journal.
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