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HIGH BLOOD PRESSURE DURING PREGNANCY
An increase in blood pressure during pregnancy occurs in 5-10% of all pregnancies, but rarely causes dangerous conditions.
Turkey Medicals – high blood pressure during pregnancy, preeclampsia, or pregnancy poisoning is called when blood pressure rises to 140/90 mmHg and above during pregnancy, while blood pressure was normal before.
It is necessary to distinguish hypertension that does not have hypertension before pregnancy, caused or aggravated by pregnancy, from old and chronic hypertension. The first is more dangerous. In patients with old hypertension, antihypertensive therapy should be re-arranged with pregnancy and switched to drugs that can also be used safely during pregnancy.
While their blood pressure is normal before pregnancy and in the first two trimesters of pregnancy, these situations that report that the table is important in pregnant women whose blood pressure rises in the 3rd trimester should be questioned:
* Swelling of the hands and feet, face
* Persistent headache
* Right upper abdominal pain that does not go away
* Complaints about the stomach that do not go away
* Visual disturbances (blurred vision, loss of field of view, double vision, temporary loss of vision)
How is hypertension (preeclampsia) caused by pregnancy diagnosed?
* There’s a protein leak in the urine.
* There may be a decrease in the number of shaped elements called platelets, which ensure blood clotting.
* The LDH value may increase with the breakdown of red blood cells.
* Enzymes that provide information about liver function may increase.
* There may be an increase in the value of creatinine, which indicates kidney function.
Who is at risk for hypertension (preeclampsia) caused by pregnancy?
* It is more common in the first pregnancies.
* The risk is high in multiple pregnancies.
* Advanced maternal age increases the risk.
* Obesity increases the risk.
* The risk is high in those who have heart and vascular disease before pregnancy.
* It is more common in those who have a history of high blood pressure in their previous pregnancies and families.
What to do with hypertension (preeclampsia) caused by pregnancy?
There is no reliable and valid screening test for preeclampsia. The Doppler test performed in the second trimester has limited benefit in determining severe cases.
* At each examination, blood pressure should be carefully measured and weight recorded.
* Rapid weight gain during pregnancy should be prevented
* The use of low-dose aspirin should be recommended under the supervision of a doctor for those who have high blood pressure during previous pregnancies.
What is the treatment for hypertension (preeclampsia) caused by pregnancy?
If the baby’s well-being continues until this period, time should be saved by applying antihypertensive therapy in a limited pregnancy.
Pregnancy in severe hypertension:
* Before 24 weeks, unfortunately, the mother’s life is at risk.,
* If it is between 24-34 weeks, after the necessary treatments are applied to ensure the baby’s lung development, before the birth,
* If it is in 34-37 weeks, childbirth is required.
In addition, supportive treatments are required to prevent preeclampsia from developing into eclampsia, a form of which is similar to sara’s seizure. Hospitalization in Turkey, monitoring, the use of magnesium protects the mother from dangers until the birth of the baby. The only real cure for preeclampsia is childbirth.
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Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.
Physician's Resume:
Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.
Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.
In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.
Awards:
Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.
Certificates:
Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .
Professional Members:
American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.
Disclaimer:
Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.