Treatment for Pregnancy Induced Hypertension, also commonly
referred to as toxemia, is determined by the severity of the
disorder. Any time that a woman is diagnosed with this condition,
close observation of both the mother and baby will be necessary
for the remainder of the pregnancy. What begins as transient
hypertension, with few other symptoms, can quickly escalate to
preeclampsia (a more severe form), with little or no warning
signs.
When initially diagnosed with this disorder, if symptoms are
mild, a woman may be permitted to remain at home, on bedrest. A
visiting nurse may come to your home to check your blood
pressure, urine, weight, the baby's heart rate, and also to
interview you and assess you for other symptoms. Other blood and
laboratory tests may be ordered to assess the function of your
kidneys, heart, and liver. Your doctor or midwife may recommend
ultrasound studies to more accurately assess the baby's growth
and development, along with the blood flow through the umbilical
cord. It may also be necessary for you to have more frequent
office visits than would be required if your pregnancy were
normal.
If your symptoms worsen and your condition progresses to the
stage of preeclampsia, it will be necessary for you to be
admitted to the hospital. This way, the doctors and nurses
can more closely observe you and your baby. A perinatologist (an
obstetrician who specializes in high-risk pregnancies) may become
involved in your care. Depending on the health of the mother and
the risks to the baby, it may be necessary to deliver the
baby.
If delivery is scheduled to occur before your due date, an
amniocentesis (a procedure that involves placing a needle into
the uterus and removing some amniotic fluid that surrounds the
baby) will be performed. The results of the amniocentesis tell
the doctor whether or not the baby's lungs are mature enough to
breathe on their own, outside of the womb. Medications that help
to mature the baby's lung tissue are usually given to the mother
before delivery is scheduled. Ideally, delivery should be delayed
48 hours after these medications are administered, (it takes
about that long for the medicine to work) but in some instances
that is not possible. Other medications that may be given to the
mother include antihypertensive drugs to reduce the mother's
blood pressure and anticonvulsive medications to reduce the risk
of seizures.
Complications of Pregnancy Induced Hypertension can at times
be severe. It this condition remains untreated, the woman
may suffer a seizure, placing increased risk on both the mother
and baby. Other maternal organs, like the kidneys, liver, heart,
and brain can become compromised. If this should occur, the women
will require monitoring in an intensive care unit and delivery
will occur as soon as possible. Fortunately, for most all women
who develop Pregnancy Induced Hypertension, the condition
resolves after delivery.
Since the only known "cure" for Pregnancy Induced
Hypertension and the complications that can occur with it, is the
delivery of the baby and the placenta, treatment during the
woman's pregnancy is aimed at controlling the severity of
symptoms and promoting optimal maturation of the fetus. When
symptoms become severe, and the health of the mother and or the
baby is at risk, the only remaining option is to deliver the
baby.