What Your Doctor Wishes You Knew About Diabetes and Hypertension
May 6, 2025
Pregnancy is a joyful time, but it also brings its share of challenges. One of the most important health factors to keep an eye on is high blood pressure (hypertension). For many women in Nairobi, understanding the impact of hypertension during pregnancy is vital for ensuring both your health and that of your baby. At St. Joseph Health Centre Wendani, we are committed to providing the best care, support, and advice for managing high blood pressure during pregnancy.
In this article, we’ll cover everything you need to know about high blood pressure in pregnancy, including how it’s diagnosed, the risks involved, how we manage it, and how you can help prevent complications. Let’s get started.
What is High Blood Pressure in Pregnancy?
High blood pressure in pregnancy refers to an elevated blood pressure reading in a pregnant woman. It’s a condition that can develop during pregnancy and can lead to complications for both the mother and the baby if left unmanaged. High blood pressure during pregnancy can come in several forms, including:
- Chronic Hypertension: This refers to high blood pressure that was present before pregnancy or that develops before 20 weeks of gestation.
- Gestational Hypertension: If your blood pressure rises above 140/90 mmHg after 20 weeks of pregnancy without the presence of protein in your urine, this is known as gestational hypertension. It can go away after delivery.
- Pre-eclampsia: A more severe form of hypertension that typically develops after 20 weeks, pre-eclampsia involves high blood pressure combined with protein in the urine and signs of organ damage (like liver or kidney problems).
Hypertension during pregnancy needs close monitoring, as it can lead to complications for both the mother and the baby.
Why Does High Blood Pressure Monitoring Matter in Pregnancy?
Risks to the mother
If left unmanaged, high blood pressure can lead to serious health issues, such as stroke, organ damage, or placental problems. Severe cases can even result in eclampsia, a life-threatening condition that involves seizures.
Risks to the Baby
For the baby, high blood pressure can restrict the flow of nutrients and oxygen, increasing the risks of:
- Premature birth
- Low birth weight
- Stillbirth in extreme cases
- Placental abruption, where the placenta detaches from the uterine wall
These risks emphasize the importance of early detection and management of hypertension during pregnancy.
Who Is at Risk for High Blood Pressure During Pregnancy?
Certain factors can increase your likelihood of developing high blood pressure during pregnancy. You may be more likely to develop it if:
- You’re over the age of 35
- This is your first pregnancy
- You have a history of high blood pressure, kidney disease, or diabetes
- You are carrying more than one baby (e.g., twins or triplets)
- You’ve had a prior pregnancy with high blood pressure or pre-eclampsia
- You have a family history of hypertension or pre-eclampsia
- You have a history of preterm births or stillbirths
Being aware of these risk factors helps you and your healthcare provider make proactive choices about your care.
How High Blood Pressure is Diagnosed
Regular Monitoring
At St. Joseph Health Centre Wendani, we take your blood pressure seriously. Regular checks during antenatal visits will help detect any signs of hypertension. We use accurate, well-calibrated blood pressure cuffs to measure your BP at each visit. If it’s elevated, we will perform additional tests.
Additional Tests
In addition to blood pressure checks, we may test for protein in the urine, which is a key indicator of pre-eclampsia. Blood tests may also be ordered to assess kidney and liver function, as well as platelet count. An ultrasound will also help monitor your baby’s growth and the amount of amniotic fluid, which could be impacted by high blood pressure.
What to Watch For
Even if your blood pressure is normal, it’s important to be aware of the warning signs of high blood pressure or pre-eclampsia. These include:
- Severe headaches
- Blurred vision or flashing lights
- Swelling, especially in the face and hands
- Upper abdominal pain or nausea
- Sudden weight gain (more than 2 kg in a week)
- Decreased fetal movement
If you experience any of these symptoms, call St. Joseph Health Centre Wendani immediately or visit us for evaluation.
Managing High Blood Pressure During Pregnancy
Lifestyle Changes
For women with mild hypertension, lifestyle changes can make a significant difference in managing the condition:
- Rest and relaxation: Taking breaks throughout the day and avoiding strenuous activities can help manage your blood pressure.
- Healthy diet: Eating a balanced diet that is rich in fruits, vegetables, lean proteins, and whole grains can help maintain healthy blood pressure. Reducing your intake of salt and processed foods is also important.
- Regular exercise: Safe physical activity like walking or swimming can help improve circulation and lower stress. Always check with your doctor before starting any new exercise routines.
- Stress management: Relaxation techniques such as yoga or meditation can help you manage the stress of pregnancy and lower your blood pressure.
Medications
If your blood pressure remains elevated, your healthcare provider may prescribe medications to help keep it under control. Some commonly used medications include:
- Methyldopa
- Labetalol
- Nifedipine
These medications are carefully chosen to ensure they are safe for both you and your baby.
Close Monitoring
In cases of severe hypertension or pre-eclampsia, hospitalization may be required for more intensive monitoring. Your doctors may administer medications such as magnesium sulfate to prevent seizures, or use intravenous hydralazine to lower blood pressure in emergency situations.
Delivery and Postpartum Care
Timing of Delivery
If you have high blood pressure or pre-eclampsia, your doctor may recommend an early delivery. The timing of the delivery depends on the severity of your condition and how far along you are in your pregnancy.
- If your blood pressure is well-controlled, you may deliver at 38-39 weeks.
- For more severe cases, induction may be necessary earlier to ensure the safety of both mother and baby.
After Delivery
After delivery, your blood pressure will continue to be monitored closely, as it may remain elevated for a few days or weeks. Gestational hypertension often resolves within a few weeks after birth, but chronic hypertension may require long-term management and follow-up.
St. Joseph Health Centre Wendani: Your Trusted Partner in Maternal Health
We are proud to offer affordable, private care for all our patients. We accept SHA insurance for deliveries only, and Britam and CIC insurance for both antenatal clinics and deliveries. Our skilled team of obstetricians, midwives, and clinical officers work together to provide you with the best care possible, from your first antenatal visit to post-delivery follow-up.
We understand that navigating hypertension during pregnancy can be stressful, but with our expert team by your side, you can be confident that you and your baby are in safe hands. We’re committed to providing the highest level of care with compassion and professionalism.
Conclusion
High blood pressure during pregnancy doesn’t have to be a source of fear. With early diagnosis, proper monitoring, and careful management, you can significantly reduce the risks to both you and your baby.
Make sure to attend all your antenatal visits at St. Joseph Health Centre Wendani, where we’ll help you manage your health and ensure a safe pregnancy. If you have any concerns or would like to book an appointment, feel free to contact us today. Together, we’ll navigate your pregnancy with confidence.
