Pregnancy induced hypertension syndrome is a disease specific to pregnancy, including gestational hypertension, chronic hypertension, chronic hypertension with preeclampsia, and eclampsia. This disease has a significant impact on pregnant women and fetuses, and can even cause maternal and infant deaths. So, what are the diagnostic criteria for gestational hypertension syndrome?
Diagnostic criteria for gestational hypertension syndrome
Hypertension
Blood pressure rise of ≥ 140/90mmHg, or blood pressure rise of ≥ 25/15mmHg compared to pre pregnancy or early pregnancy, at least twice, with an interval of 6 hours.
Proteinuria
Single urine protein test ≥ 30mg, at least twice, with an interval of 6 hours, or 24-hour urine protein quantification ≥ 0.3g.
Edema
Weight gain of 0.5kg/week is indicative of latent edema. According to the severity of edema, it can be divided into: limited ankle and calf (+); Edema extends to the thighs (++); Edema extends to the perineum and abdomen (+++).
Pregnancy induced hypertension
Only hypertension, with or without edema, and without proteinuria.
Pre eclampsia
It is a condition involving multiple systems, mainly maternal abnormalities occurring in the kidneys, liver, brain, and coagulation system. Reduced placental blood flow can cause fetal growth retardation or intrauterine fetal death.
Mild preeclampsia
There is hypertension accompanied by proteinuria.
Severe preeclampsia
Blood pressure ≥ 160/110mmHg; Proteinuria ≥ 3g/24 hours; Accompanied by headache, blurred vision, nausea, vomiting, and pain in the upper right abdomen; The fundus not only has spasms but also exudation or bleeding; Abnormal liver and kidney function, or abnormalities in coagulation mechanisms; The presence of heart failure and/or pulmonary edema.
Examination of Pregnancy Induced Hypertension Syndrome
1. Pay attention to medical history and self perceived symptoms
For people who suffer from hypertension, chronic nephritis, and diabetes before pregnancy, if they experience dizziness, headache, and edema after 20 weeks of pregnancy, they should go to the hospital for examination in a timely manner.
2. Pay attention to observe whether there is an increase in blood pressure
Regularly measure blood pressure and compare it with pre pregnancy blood pressure. If blood pressure rises, rest for 1 hour before taking another measurement.
3. Is there edema
If lower limb edema gradually spreads upwards and even exceeds the level of the thighs, one should be alert to the possibility of preeclampsia.
4. Urine examination
Check for abnormal protein content in urine.
5. Blood test
The content includes changes in blood viscosity, levels of uric acid and urea nitrogen in the blood, and other indicators used to determine the occurrence of complications.
6. Eye examination
You also need to have your eyes checked. In fact, many diseases that sound unrelated to your eyes require eye examination. Because the changes in small blood vessels in the fundus are a sign of the severity of preeclampsia.
7. Electrocardiogram examination
Check if it has damaged the heart.
The above are the diagnostic criteria and examination items for gestational hypertension syndrome introduced by the editor. Patients with gestational hypertension syndrome must actively receive treatment and be accompanied by reasonable home care to improve their condition. In daily life, it is important to ensure sufficient sleep and avoid consuming high salt foods in diet.
