1. the Pregnant Women in the Past Did Not Have the History Of

一、Definition

1. The pregnant women in the past did not have the history of

the disease high blood pressure, and the pregnancy symptoms

of high blood pressure, the maternal hypertension mostly

pregnant 20 German after the relevant.

2. The blood pressure systolic pressure is higher than 140 or

the diastolic pressure in the pregnancy is higher than 90,

either blood pressure of the pregnancy later period elevates

30 or the diastolic pressure compared to the early systolic

pressure elevates 15 is.

3. But the blood pressure indeed is the need 2 times is separated

at least 6 hours above surveys for.

二、Separable becomes three big kinds with the pregnancy related

hypertension：

1. Temporary hypertension: Only then the blood pressure ascension,

has not merged the albuminuria, dropsy, after the production

is normal on the reply.

2. Sub-insane front sickness: Besides hypertension,but also has

merged the albuminuria or dropsy.

3. Sub-insane: Has when the convulsions outbreak calls it.

三、These parturient women quite are easy to occur?

1. Common had at the beginning of in the parturient woman, the

family history once has had the hypertension of pregnancy

2. Nutrition not balanced, also is in is pregnant absorbs the

protein, calcareous, ferroguinous, insufficiencies or the

carbohydrate, the salinity and so on Vitamin, sulfur amino

acid absorbs excessively many;

3. The multi-afterbirth, the hydatidiform mole, pregnant woman

itself had hypertension, diabetes or kidney disease, embryo

dropsy embryo,polyhydramnios, erythemathetic lupus and so on.

四、Often appears symptom?

1. Whole body dropsy, disgusting,the vomit,the headache, vision

blurring,the pate stiff, the urinative quantity reduces, the

body weight increases (each week to increase 4~5 kilograms)

excessively, in the epigastrium ache, the urine is bigger

than 2+ or 24 hours accumulation including the protein

surpasses 4 grams.

2. The liver function exceptionally, the blood platelet drops,

the kidney function index exceptionally, the pulmonary edema.

3. If has has the convulsion to diagnose for the sub-epilepsy.

4. The serious situation can cause the intraocular pressure rise

to create the retina peeling, but but can restore slowly

because of the blood pressure drop, in addition also can have

because of the central nervous system change has the headache

and the convulsion .

5. The long-enduring headache spot usually is the forehead and

the occipital bone place, its reason is the blood vessel of

brain convulsion causes.

五、 The impact my baby

1. As a result of vasoconstriction influence, the embryo the

nutrition which obtains in the womb is then insufficient,the

malnutrition is opposite in the embryo is born the body weight

to be able to reduce.

2. But the pregnant woman has the blood pressure rise time early,

the influence is also more serious to the embryo.

3. Can have the premature delivery occurrence, mainly is because

embryo's is not good in womb growth condition, is in for a

long time the disadvantageous habitat, the embryo can appear

the poverty-stricken indication, obstetrician can consider

the ahead of time cuts open the belly the childbirth to leave.

4. Another primary factor is because parent substance hypertension

is unable with the medicine suitable control, so as to avoid

has the eclampsia sickness for the pregnant woman, therefore

then ahead of time the childbirth has the embryo.

5. The placenta bed is not being smooth in the endometrium,

causes the placenta function not to be good,is originally the

hypertension of pregnancy characteristic, therefore the

placenta early time peeling occurrence proportion then can

advance. The placenta early time peeling also is originally

one kind of condition which the childbirth leaves ahead of

time.

6. Therefore under many kinds of factors, why we on is not

difficult to imagine prematurely delivers in the hypertension

of pregnancy pregnant woman's formation rate can the very

high reason.

六、Maternity?

1. Is may use the nature production

2. Cuts open the belly the production: Only if is pelvis embryo

not assymetrical or front the embryo cuts open the belly the

production, the course of childbirth sluggish as well as the

embryo breathes poverty-stricken.

七、Clinical disposal

1. Urine examination, situation of the observation albuminuria.

2. Surveys the body weight every day, observes dropsy condition

and the record output input value.

3. Embryo sound of the heart and fetal movement monitor.

4. Gives falls the blood pressure medicine according to the

doctor's advice,the control blood pressure maintenance margin

for safety is 140~150/90~100 mmHg.

4.1 Regarding pregnant woman who serious must be hospitalized,

the common clinical common medicine for takes orally Aldomet

or Apresoline, also can give the magnesium sulfate to prevent

the convulsion the occurrence,but in the blood the magnesium

density must maintain certain treatment level,too low invalid,

too Gao You feared has the side effect, therefore pays

attention to the pregnant woman depth portion tendon reflex,

the breath speed, and the urination quantity, also may avoid

not essential side effect.

5. Monitor life sign.

6. In gathering nurses, the maintenance environment peaceful

reduction noise, the light stimulate and limit the visitor.

八、preventive measures

1. Can start first generally from the control diet, the

maintenance high protein diet is very important,every day 80

to 90 gram or the 1.5gm/kg/day protein ingestion, may

supplement in the urine drains the protein, reduces dropsy

the danger.

2. Do not eat too salty or including sodium high food, one day

does not surpass 3gm, for example: Salt product, canned food

processing food and so on.

3. Has bedrest when the home should pick lies on one's side left,

may reduce the womb oppression vena cava inferior, thus makes

the vein backflow to increase, then increases the whole body

blood circulation, the placenta and the kidney blood stream

of irrigation causes the blood pressure to drop.

4. Has bedrest also the observation dropsy situation, raises the

lower limb to promote the blood backflow, normal is being

pregnant the last stage to be able to have the foot dropsy,

but dropsy of the hypertension of pregnancy usually can appear

in the second gestation period (is pregnant four ~ for six

months) also can progress the eyelid.

5. Will monitor the blood pressure also is voluntarily necessary,

might sooner or later respectively measure every day one time

and makes the record.

6. Each ~ two weeks make one time to produce examine, has

exceptionally when should shift to an earlier time the seeing

a doctor, maintains the mood as far as possible stably then.

九、reference

1.104 Health and Medical Network (2008). pregnancy hypertension

December 2008 14 extracted from http: //www .,104 drs. com.tw/

knowledge _ art.asp? The hall ID = 2

2. Chen Yijing writes nursing (2005). dangerous pregnancy. Yu

Chen Zhanghui always reviews. Practical obstetrics nursing

(7-23 page). Taichung: Hua Genei.