At 38 weeks of pregnancy, is it necessary to terminate the pregnancy due to high blood pressure?

Aug 27, 2023 Source: Cainiu Health

Dr. Lv Aiming

Introduction

At 38 weeks of pregnancy, high blood pressure generally requires termination of pregnancy. If blood pressure remains elevated, it may pose risks to both maternal and fetal health. Hypertension can cause symptoms such as headache, blurred vision, abnormal liver function, and increased protein in the urine, the severity of which also needs to be considered. High blood pressure may also affect fetal growth and development.

Elevated blood pressure at 38 weeks of pregnancy generally requires termination of pregnancy. The detailed analysis is as follows:

If blood pressure remains persistently high, it may pose risks to both maternal and fetal health. Hypertension can cause symptoms such as headache, blurred vision, abnormal liver function, and increased urinary protein, the severity of which must also be taken into account. High blood pressure may impair fetal growth and development, increasing the risk of complications such as preterm birth, placental abruption, and fetal distress in utero. If hypertension is severe, termination of pregnancy may need to be considered to protect maternal health. Generally, if hypertension persists and symptoms are significant, delivery should be considered. However, before making a decision, doctors will also assess the overall condition of both the mother and fetus, and explore other possible treatment options. If termination of pregnancy is necessary, the doctor will choose the most appropriate method to safeguard the mother's health, which may include medically induced labor or cesarean section.

It is recommended that decisions be made under the guidance of a physician to ensure the safety and well-being of both mother and baby.

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