This is an automatically translated article.
Ask
X hello doctor, I have a question for you. Currently, I am 34 weeks pregnant, every time I go to antenatal care, my blood pressure increases, ranging from 150/90 mmHg, 160/100mmHg. I also went to the hospital for a cardiologist and wore a Holter machine at week 32, after 24 hours, my blood pressure fluctuated 140/85 mmHg and then dropped again. The doctor at the hospital said it was still within the allowed limit and didn't need to take medicine. However, each time I went to antenatal care, there was an increase, urine test did not show proteinuria. So the doctor asked me, 34 weeks pregnant with erratic blood pressure, should I take low-dose aspirin prophylaxis? Thank you doctor.
Anonymous question
Answer
Hello. It is possible that you have gestational hypertension, but at a mild level, not requiring treatment. Every time you go to the antenatal clinic to measure your blood pressure to 150/90 mmHg, 160/100 mmHg is due to 2 reasons: just going to the hospital and measuring blood pressure right away, the blood pressure will increase more than it actually is and the white coat effect for some people. Every time I go to the hospital, my blood pressure goes up.
Gestational hypertension with edema, Proteinuria (also known as proteinuria) (+) should be wary of pre-eclampsia syndrome. Currently, her urine does not have proteinuria, so I do not think about pre-eclampsia. I measure my blood pressure at home and then report it to the obstetrician when I come for a routine antenatal checkup. In my case, there is no indication to take low-dose aspirin.
For peace of mind, you can go to a hospital of Vinmec Health System to be examined by a qualified doctor and have specific evaluations. Thank you for submitting the question "Is 34 weeks pregnant with abnormal blood pressure, should I take low-dose aspirin?" to Vinmec. I wish you good health always.
Answered by Specialist Doctor II Nguyen Bang Phong - Internal Medicine - Interventional Cardiology cum Head of Heart Failure Clinic - Cardiovascular Center - Vinmec Times City International Hospital
