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Your Diet – Can it Reduce the Risk of Pregnancy-Induced High
Blood Pressure?
During pregnancy, a nutritious
diet may reduce the risk of preeclampsia, which is the early stage of
pregnancy-induced hypertension (high blood pressure). This condition causes
concern for your physician because it can lead to eclampsia, the full-blown
form of severe high blood pressure during pregnancy.
In some women, severe high blood pressure may develop after the first
20 weeks of pregnancy. Additional problems that may occur at the same
time are proteinuria (protein lost through the kidneys), and edema,
or swelling from water retention in the hands and feet. In the worst
cases, eclampsia can cause fetal damage, or expecting mothers may experience
convulsions and coma. Fortunately, this condition is rare, with preeclampsia
and eclampsia affecting only 7 to 8% of pregnant women. Younger women,
women experiencing their first pregnancy, and obese women are most at
risk.
Researchers have been trying to find a diet that will reduce the risk
of high blood pressure for pregnant women, but studies are still inconclusive.
It has been suggested that a higher protein intake for the expecting
mother may help, but this has not been proven. Also, a lower salt intake,
which is effective among the general population for reducing hypertension,
has not been shown to reduce the risk of eclampsia for pregnant women.
Fortunately, calcium and antioxidant supplements during pregnancy do
show some promise in preventing these conditions among women at risk.
Calcium
One study included 48 women with a family history of preeclampsia who
were experiencing their first pregnancies. Some of the women in the
study received supplements containing 600 mg of calcium and 450 mg of
conjugated linoleic acid (CLA) during the 18th through 22nd weeks of
pregnancy, and others received a placebo. The women who received the
calcium and CLA supplements had a significant reduction in hypertension,
and it is believed that these supplements may reduce the risk of pre-
and full-blown eclampsia.
Antioxidants
Pregnancy is known to increase the need for antioxidants. When women
lack antioxidants in their diet (vitamins C and E, zinc and selenium),
the deficiency may worsen hypertension. Some women have low levels of
these antioxidants due to poor eating habits, which is common among
younger women and teens. Supplements of antioxidants may significantly
reduce the risk of eclampsia, with vitamins C and E being considered
the most important.
At this time it there is no fool-proof preventative measure to reduce
the risk of pregnancy-induced high blood pressure, so good prenatal
care is vital. Your doctor will monitor your blood pressure and do blood
and urine tests. Be sure to ask your doctor which supplements she recommends
for you. She may also recommend a good dietitian to make sure you eat
right and maintain the most nutritious diet during your pregnancy.
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