Ever heard that some women get blind after delivery?

Yes, it is called cortical blindness. However, It is also, reversible.

Cause?
Hypertension in pregnancy

Who is at risk?
- Known hypertensives, before pregnancy
- Pregnancy-induced Hypertensives- PIH

#WorldHypertensionDay 👇🏽
How does this happen?
Rise in BP, from labour and the delivery process can affect blood vessels, causing damage to the brain’s occipital complex.

This causes partial or complete loss of vision. Most times it isn’t permanent, and patient may recover their vision after a while.
Hypertension, also causes other complications like Preeclampsia and Eclampsia. Which comes with raised BP, headaches, leg swelling, protein in urine, and in severe cases, seizures.

Hypertension is a major cause of maternal and fetal mortality in Africa.

This can be prevented.
Prevention:
Starts before pregnancy.
- Regular BP checks:
• Monthly/Every 3 months if BP is normal.
• Daily/ as advised by your Doctor, if hypertensive.
- Take your medication seriously.
- If you’re hypertensive or had PIH and trying to conceive (TTC), speak to your Dr...
Your Doctor will examine and advice if it’s safe for you to get pregnant at the moment. If safe, will give guidance on best practice.

When pregnant;
- Book early.
- Never miss an ANC. Routine tests will be carried out.
- Once you’re diagnosed of hypertension in pregnancy...
Your Doctor will give you pregnancy safe anti hypertensive medication, advice on lifestyle and dietary modifications.
- Work with nutritionists and Dietitians to create a healthy meal plan for you.
The aim is to control your blood pressure, for a safe pregnancy and delivery.
Also, Birthing plans will be discussed. If well controlled, in some cases, a woman may be allowed to push.

However in many cases of hypertension in pregnancy, CS is best advised. To avoid complications like Eclampsia, Fetal death, or cortical blindness.

Speak to your Doctor.
Other methods of prevention:
- Healthy Diets. No smoking and drinking of alcohol.
- Lifestyle: No stress, regular exercise etc
- Any family history of HTN. Start early to get yourself checked out.
#KnowYourNumbers.

Pregnancy induced hypertension can reverse after delivery.
In some cases, it may continue to become full blown Hypertension. This can also be well managed.

The key to a safe pregnancy, is early ANC booking and regular hospital appointments.

Report any concerns or new developments to your Dr, in real time. Stay safe.

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