Some commonly prescribed antihypertensive drugs are contraindicated or best avoided before conception and during pregnancy (Table 1 ). These include ACE inhibitors, angiotensin receptor antagonists, diuretics and most beta blockers.
What blood pressure medications are contraindicated in pregnancy?
Certain blood pressure medications cannot be used in pregnancy. The use of angiotensin-converting enzyme inhibitors (ACE inhibitors), angiotensin receptor blockers (ARBs), renin inhibitors and mineralocorticoid receptor antagonists are not recommended while you are pregnant.
Which hypertensive drug is safe in pregnancy?
According to NHBPEP methyldopa, labetalol, beta blockers (other than atenolol), slow release nifedipine, and a diuretic in pre-existing hypertension are considered as appropriate treatment .
Why ACE inhibitors are contraindicated in pregnancy?
It is well accepted that angiotensin-converting enzyme (ACE) inhibitors are contraindicated during the second and third trimesters of pregnancy because of increased risk of fetal renal damage. First-trimester use, however, has not been linked to adverse fetal outcomes.
Can I take high blood pressure medication while pregnant?
Is it safe to take blood pressure medication during pregnancy? Some blood pressure medications are considered safe to use during pregnancy, but angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor blockers and renin inhibitors are generally avoided during pregnancy. Treatment is important, however.
Why diuretics are contraindicated in pregnancy?
Diuretics given after the first trimester interfere with normal plasma volume expansion, which may exacerbate the volume depletion in pre-eclampsia and cause intrauterine growth retardation . Diuretics have not been reported to have teratogenic effects.
What is chronic hypertension in pregnancy?
Chronic hypertension in pregnancy is defined by the American College of Obstetrics and Gynecology (ACOG) as blood pressure ≥140 mm Hg systolic and/or 90 mm Hg diastolic before pregnancy or, in recognition that many women seek medical care only once pregnant, before 20 weeks of gestation, use of antihypertensive …
Can you have a natural birth with high blood pressure?
It’s possible to have a vaginal birth if you have high blood pressure, even if you develop superimposed preeclampsia. But it’s very likely that your labor will be induced. It’s also likely that you’ll need to deliver by cesarean section (c-section).
What is normal blood pressure in pregnancy?
According to the American Heart Association (AHA), a normal blood pressure reading is 120/80 mm Hg and below. Readings below 90/60 mm Hg indicate low blood pressure, or hypotension. Readings above 140/90 mm Hg in pregnancy indicate high blood pressure, or hypertension.
What causes high blood pressure in pregnancy?
There are several possible causes of high blood pressure during pregnancy. These include: being overweight or obese. not getting enough physical activity.
Are beta blockers contraindicated in pregnancy?
(10-14) However, beta-blockers cross the placental barrier and are associated with several adverse effects, such as delayed intrauterine growth, respiratory depression, neonatal bradycardia and hypoglycemia, particularly when treatment is started early on in the pregnancy (i.e. at 12–24 weeks).
What pregnancy category is lisinopril?
Pregnancy Category D
ACE inhibitors can cause fetal and neonatal morbidity and death when administered to pregnant women.
Why is enalapril contraindicated in pregnancy?
Enalapril-felodipine is considered contraindicated during pregnancy. Drugs that act directly on the renin-angiotensin system can cause fetal and neonatal morbidity and death when administered during pregnancy. A committee of the National Institutes of Health has recommended that these drugs be avoided during pregnancy.
How can I maintain my blood pressure during pregnancy?
Some ways to lower the risk of high blood pressure during pregnancy include:
- limiting salt intake.
- staying hydrated.
- eating a balanced diet that is rich in plant-based foods and low in processed foods.
- getting regular exercise.
- getting regular prenatal checkups.
- avoiding smoking cigarettes and drinking alcohol.
How can I lower my blood pressure naturally while pregnant?
Here are 7 natural ways you can lower your blood pressure during pregnancy.
- Ditch the salt. …
- Eat a healthy more whole grains and potassium-rich foods. …
- Destress. …
- Get moving. …
- No smoking or alcohol. …
- Keep a close eye on your weight. …
- Follow medication protocol.
7 июн. 2017 г.
What are signs of high blood pressure during pregnancy?
What are the symptoms of preeclampsia?
- High blood pressure.
- Too much protein in your urine (called proteinuria)
- Swelling in your face and hands. …
- Headache that does not go away.
- Vision problems, including blurred vision or seeing spots.
- Pain in your upper right abdomen.
- Trouble breathing.
14 авг. 2020 г.