I.

Introduction
Pregnancy Indus Hypertension
Gestational hypertension or pregnancy-induced hypertension (PIH). Gestational Hypertension is
defined as having a blood pressure greater than 140/90 on two separate occasions at least 6 hours
apart. Gestational hypertension is high blood pressure in pregnancy. Pregnancy
induced hypertension (PIH) is a condition wherein vasospasm occurs during pregnancy in both the small
and large arteries in the body. Pregnancy Induced Hypertension is a form of high blood pressure in
pregnancy. It occurs in about 5 percent to 8 percent of all pregnancies. It is a condition in which
vasospasm occurs during pregnancy in both small and large arteries. With high blood pressure, there is an
increase in the resistance of blood vessels. This may hinder blood flow in many different organ systems in
the expectant mother including the liver, kidneys, brain, uterus, and placenta.
II. Pathophysiology
Pregnancy Indus Hypertension

No stable Chronic
proteinuria hypertension
Before 20
weeks of Increased Protenuria,
Pregnant Preeclampsia on
gestation development of
women with chronic
increasing blood
blood pressurre hypertention
pressures.
higher than
140/90mmHg Protenuria Preeclampsia
After 20 weeks
of gestation Gestational
No proteinuria
hypertension

Gestational hypertension or pregnancy-induced hypertension (PIH) is the development of

new hypertension in a pregnant woman after 20 weeks' gestation without the presence of protein in the
urine or other signs of pre-eclampsia. Pregnancy-induced hypertension (PIH) is estimated to affect 7% to
10% of all pregnancies in the United States. Treatment for Pregnancy Induced Hypertension depends on
so many factors, such as the severity of your case, medical history, timing in your pregnancy, overall
health and, of course, what works for you as an individual. This makes it difficult to find one solution to
Pregnancy Induced Hypertension. However, there are some forms of treatment that work for many.
III. Laboratory Diagnosis
Of 9,969 women, 2,752 (27.9%) developed pregnancy-associated hypertension and of these,
laboratory abnormalities occurred in 7.3%. Laboratory abnormalities increased with severity of
hypertension: mild hypertension alone (4.9%), severe hypertension alone (8.9%), mild or severe
hypertension with clinical signs of end-organ dysfunction (12.2%); p-value (trend) <0.001. Compared
with women with mild hypertension alone, the adjusted odds for the perinatal composite (2 to 4.8–fold in
Category III–IV), preterm birth (2.1 to 7.8–fold in Category II–IV) and other adverse perinatal outcomes
increase with disease severity, particularly with laboratory abnormalities and severe clinical signs. The
frequency of abnormal laboratory values in women with pregnancy-associated hypertension increases
with disease severity. Adverse perinatal outcomes increase in the presence of abnormal laboratory values,
particularly in those with clinical signs, likely due in part to the decision to deliver early.

Cherry Mae Mata

IV. Experimental Diagnosis
No single diagnostic test currently exists to predict the likelihood of developing gestational
hypertension. High blood pressure is the major sign in diagnosing gestational hypertension. Some women
with gestational hypertension may present asymptomatic, but a number of symptoms are associated with
the condition.
Symptoms can occur a bit differently in each pregnancy.
 The main symptom is high blood pressure in the second half of pregnancy. But some women
don’t have any symptoms.
 High blood pressure in pregnancy can lead to other serious issues. These can include
preeclampsia. You should watch for signs of high blood pressure.
 Headache that doesn’t go away
 Edema (swelling)
 Sudden weight gain
 Vision changes, such as blurred or double vision
 Nausea or vomiting
 Pain in the upper right side of your belly, or pain around your stomach
 Making small amounts of urine

V. Nursing Intervention
 Promote bed rest in a recumbent position to aid in the secretion of sodium.
 Promote good nutrition, since the woman has still to continue her usual pregnancy
nutrition.
 Provide emotional support to establish a trusting relationship and let the woman voice out
her fears.
 Assess vital signs, especially blood pressure. An elevated blood pressure of 140/90
mmHg and above would indicate hypertension.
 Presence of protein could be determined through urine tests.
 Assess patient for the presence of edema on the face, fingers, and upper extremities.

Nursing Diagnosis
 Ineffective tissue perfusion related to vasoconstriction of blood vessels.
 Patient must exhibit a normal blood pressure of 120/70 mmHg.
 No presence of protein should be detected on her urine.
 Edema should be confined to the lower extremities only.
Whatever complications a pregnancy has, it always has a corresponding intervention and solution. All we
need to do as health care providers is to collaborate and ensure that what we provide for the patient and
her family is for their well-being, and for the well-being of the tiny life inside of her.

VI. References
 https://nurseslabs.com/pregnancy-induced-hypertension/
 https://search.yahoo.com/search?fr=mcafee&type=E210US91213G10&p=pregnancy-induced-hypertension-
pathophysiology+explanation
 https://search.yahoo.com/search?fr=mcafee&type=E210US91213G10&p=pregnancy+induced+hypertention+
protenuria

Cherry Mae Mata