Home Health & Wellness Chronic Hypertension After Pregnancy: Causes And How To Manage

Chronic Hypertension After Pregnancy: Causes And How To Manage

by Kelly Carter

The joy of motherhood can sometimes be frustrated by the emergence of chronic hypertension after pregnancy.

For some women, the postpartum period may also introduce certain health challenges, such as the development of chronic hypertension after pregnancy.

In this article, we will look into the causes of hypertension after child birth and discuss effective ways to manage this condition for better overall health.

Can You Develop Chronic Hypertension After Pregnancy?

Yes.  It’s possible. Hypertension, known as high blood pressure, is a medical condition that affects millions of individuals worldwide.

When hypertension occurs after pregnancy, it is referred to as postpartum or chronic hypertension. This is typically diagnosed within six weeks after childbirth and may continue for an extended period if not properly managed.

Postpartum hypertension, can occur in women who had normal blood pressure levels during pregnancy or those who experienced gestational hypertension or preeclampsia.

Women need to monitor their blood pressure regularly after giving birth and seek medical attention if they notice any unusual symptoms.

Postpartum hypertension can increase the risk of cardiovascular diseases and other complications, highlighting the importance of early detection and appropriate management.

What Causes Hypertension Post Pregnancy?

Hypertension sign and symptoms infographic

Postpartum hypertension is a condition that affects many women after giving birth. Several causes can trigger it. The following can cause hypertension postpartum:

1. Pre-existing hypertension

Those who had high blood pressure before pregnancy are at a higher risk of developing chronic hypertension after childbirth.

Some women experience high blood pressure during pregnancy and subsequently develop chronic hypertension. This condition is known as gestational hypertension.

2. Preeclampsia

Preeclampsia is a severe pregnancy complication characterized by high blood pressure and damage to other organs, primarily the liver and kidneys.

3. Obesity and Unhealthy Lifestyle

Women with pre-existing obesity or an unhealthy lifestyle, such as a sedentary routine or poor dietary choices, are also more likely to develop hypertension after pregnancy.

How Long Can Postpartum Hypertension Last?

Postpartum hypertension occurs within a few days or weeks after childbirth. It is often a temporary condition that resolves on its own within six weeks.

However, for some, it may persist for a longer period, extending up to 12 weeks or even longer. This is known as chronic postpartum hypertension.

Several factors can contribute to the duration of postpartum hypertension. Women who had high blood pressure during pregnancy or developed preeclampsia are more likely to experience prolonged hypertension.

Other risk factors include obesity, a family history of hypertension, and underlying medical conditions.

Medication To Lower High Blood Pressure

Medications to lower high blood pressure, also known as antihypertensive drugs, are prescribed by doctors to help control and reduce elevated blood pressure levels.

There are several types of medications used to lower high blood pressure.  These medicines work in various ways to relax blood vessels, reduce the force of the heart’s contractions, or decrease the volume of blood pumped by the heart, all of which help lower blood pressure.

Common types of antihypertensive medications include:

a) Diuretics

Diuretics, like hydrochlorothiazide and furosemide, help eliminate excess salt and water from the body, reducing the volume of blood in circulation.

Beta-blockers, such as atenolol and metoprolol, slow down the heart rate and decrease the force of contraction, resulting in lower blood pressure.

Drugs, like thiazides, help the body to get rid of excess sodium and fluid, reducing the volume of blood, which in turn lowers blood pressure.

b) Beta-Blockers

Beta-blockers are a type of medication used to lower high blood pressure. They work by blocking the effects of a hormone called adrenaline, which can make your heart beat faster and with more force.

By doing this, beta-blockers help reduce the strain on your heart and relax blood vessels, making it easier for blood to flow through them.

When you take beta-blockers as prescribed by your doctor, they can help lower your blood pressure, which is essential for preventing heart problems, strokes, and other health issues related to high blood pressure.

c) ACE Inhibitors and Angiotensin II Receptor Blockers (ARBs)

ACE inhibitors, such as lisinopril and enalapril, work by relaxing the blood vessels, making it easier for blood to flow through them.

Calcium channel blockers, including amlodipine and nifedipine, reduce the amount of calcium entering the muscles of the heart and blood vessels, thereby relaxing them.

These drugs relax blood vessels by blocking certain hormones, helping blood flow more easily, and lowering blood pressure.

d) Calcium Channel Blockers

Calcium channel blockers are medications used to treat high blood pressure, also known as hypertension. They work by relaxing the blood vessels and reducing the force of the heart’s contractions, which helps to lower blood pressure.

Here’s how they work:

When these channels open, calcium enters the blood vessel walls, causing them to tighten and narrow. This narrowing can increase blood pressure. Calcium channel blockers prevent these gates from opening, which keeps the blood vessels relaxed and open.

Doctors may prescribe calcium channel blockers alone or in combination with other medications to control blood pressure. They are generally safe and effective.

e) Renin Inhibitors

These newer medications target the renin-angiotensin system to relax blood vessels.

Renin-inhibitors are one of the most effective ways to reduce chronic hypertension after pregnancy. They work by targeting the renin-angiotensin-aldosterone system, a complex system that regulates blood pressure and fluid balance in the body.

When blood pressure drops or there’s low blood flow to the kidneys, the kidneys release a hormone called renin. Renin starts a chain reaction that ultimately leads to the narrowing of blood vessels and an increase in blood pressure.

Renin-inhibitors are typically prescribed when other high blood pressure medications have not produced the desired results. One of the advantages of renin inhibitors is that they are generally well-tolerated and have few side effects.

Conclusion

Hypertension after pregnancy is a condition that requires attention and proper management to mitigate its potential risks.

Knowing the causes and implementing effective strategies as discussed can help you successfully manage this condition and experience improved quality of life.

Remember, seeking professional guidance from healthcare providers is essential to ensuring for optimal wellness.

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