Episode 179: Managing Blood Pressure Throughout Your Pregnancy
Hey Mamas!
In this episode of the Entering Motherhood podcast, host Sarah Marie Bilger, a wife, mother of two, and doula, discusses the critical topic of blood pressure during pregnancy. She explains the importance of monitoring blood pressure, detailing the differences between low and high blood pressure and their potential impacts on both mother and baby. Sarah offers insights into managing blood pressure through lifestyle choices and emphasizes the significance of regular monitoring. She also addresses the potential need for labor induction in cases of high blood pressure, aiming to empower and inform expecting mothers with holistic and evidence-based practices.
The Importance of Monitoring Blood Pressure During Pregnancy
Blood pressure is a vital sign that reflects the force of blood against the walls of the arteries. During pregnancy, monitoring blood pressure is crucial as it can indicate potential health issues for both the mother and the baby. Blood pressure is measured using two numbers: systolic pressure (the top number) and diastolic pressure (the bottom number). For non-pregnant adults, normal blood pressure is around 120/80. However, during pregnancy, fluctuations are common and expected.
Understanding Blood Pressure Fluctuations
First Trimester: Blood pressure may dip due to hormonal changes that relax blood vessels.
Second Trimester: The body adapts, and blood pressure may rise again.
Third Trimester: It’s normal for blood pressure to increase as the body works harder to support the growing baby.
Sarah emphasizes the importance of knowing what is normal for each individual, as variations can occur. Regular monitoring helps in identifying any deviations from the norm, which can be crucial for timely intervention.
Low Blood Pressure (Hypotension) During Pregnancy
While high blood pressure often garners more attention, low blood pressure, or hypotension, is also common during pregnancy. It can result from hormonal changes and the rapid expansion of the circulatory system. Symptoms of low blood pressure include dizziness, fainting, and fatigue. Although generally less concerning than high blood pressure, it can still impact daily life.
Managing Low Blood Pressure
Stay Hydrated: Drink plenty of fluids to maintain blood volume.
Eat Small, Frequent Meals: Helps in maintaining blood sugar levels and preventing dizziness.
Move Slowly: Avoid sudden movements to prevent fainting spells.
Use Compression Socks: Improves circulation and reduces the risk of dizziness.
High Blood Pressure (Hypertension) During Pregnancy
High blood pressure can manifest as chronic hypertension (existing before pregnancy) or gestational hypertension (developing after 20 weeks). Gestational hypertension can lead to pre-eclampsia, a serious condition characterized by high blood pressure and potential organ damage.
Symptoms of High Blood Pressure
Persistent headaches
Blurred vision
Upper abdominal pain
Significant swelling
Some women may not experience any symptoms, making regular monitoring essential. Healthcare providers typically check blood pressure at every appointment. If readings consistently exceed 130/80, further evaluation and potential intervention may be necessary.
Risks Associated with High Blood Pressure
Increased chances of stroke
Organ damage
Complications for the baby, such as preterm birth or placental abruption
Home Monitoring and Lifestyle Choices
Sarah encourages listeners to consider home monitoring of blood pressure, as readings can vary between the doctor's office and home. This information can be valuable for discussions with healthcare providers.
Lifestyle Choices for Managing Blood Pressure
Diet: Focus on whole foods, maintain hydration, and moderate sodium intake.
Exercise: Regular physical activity can help in maintaining healthy blood pressure levels.
Induction of Labor Due to High Blood Pressure
In cases where high blood pressure cannot be controlled, induction of labor may be necessary. Sarah outlines several reasons for considering induction, including severe pre-eclampsia, uncontrolled hypertension, and fetal complications. Induction is typically recommended around 37 to 39 weeks to minimize risks to both mother and baby.
Preparing for Induction
Steroid Shots: Administered to help develop the baby's lungs if an early delivery is anticipated.
Open Communication: Discuss options and concerns with healthcare providers to make informed decisions.
Postpartum Blood Pressure Management
Blood pressure issues may not resolve immediately after delivery. Some women may experience postpartum hypertension or continue to have elevated blood pressure levels, necessitating ongoing monitoring and follow-up with healthcare providers. Sarah encourages mothers to be vigilant about their health and to communicate any concerning symptoms to their doctors.
Summary
This episode of the Entering Motherhood podcast provides valuable insights into the complexities of blood pressure during pregnancy. Sarah Murray's holistic approach, combined with evidence-based information, aims to equip mothers with the knowledge they need to navigate their pregnancy journey confidently. By understanding blood pressure fluctuations, managing low and high blood pressure, and preparing for potential interventions, expecting mothers can ensure a healthier pregnancy experience.
Sarah invites her audience to reach out with topics they would like to learn more about, fostering a sense of community and support. She also shares her excitement about an upcoming childbirth education course designed to provide in-depth information on various topics, including blood pressure management. Stay connected through social media and the podcast for more valuable content in the future.
Remember, you are not alone on this journey. Empower yourself with the right resources and make informed choices during pregnancy, birth, and postpartum. Share this episode with friends and reach out for support when needed. Your strength and resilience as mothers are truly remarkable.
Entering Motherhood Links
>> Lily Nichols - Article for Preeclampsia
>> Birthworker Doula Training Program
>> First Trimester Nutrition Guide
>> #1 FREE Postpartum Download
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