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March 15, 2025 By Dr Manali Rao 5 Comments

Hypertension in Pregnancy: What Every Mother-to-Be Should Know

pregnant-womenPregnancy is a beautiful journey, but it also comes with its share of challenges. Among them, high blood pressure (hypertension) is one of the most common concerns for expectant mothers. Whether it’s your first pregnancy or you’ve experienced complications before, understanding hypertension during pregnancy can help you stay in control and safeguard both your health and your baby’s well-being.

Some women experience pregnancy-induced hypertension (PIH), which can develop after 20 weeks of pregnancy. If left unchecked, it can lead to complications such as pre-eclampsia, placental abruption, or preterm delivery. However, with early detection, lifestyle changes, and medical support, most women can manage their blood pressure effectively and have a healthy pregnancy.

What is Pregnancy Induced Hypertension (PIH)?

PIH refers to newly developed hypertension during pregnancy, without the presence of protein in the urine or other symptoms of pre-eclampsia. Hypertension is defined as blood pressure higher than 140/90 mmHg. It can have serious effects on both mother and baby if not monitored properly.

Causes & Risk Factors of PIH

There is no single cause of PIH, but several factors can increase your risk:

  • Being overweight or obese
  • Lack of physical activity
  • Smoking or alcohol consumption
  • Family history of hypertension or PIH
  • Previous history of PIH in past pregnancies
  • Multiple pregnancy (twins or more)
  • Maternal age (below 18 or over 35 years old)
  • Pre-existing diabetes, kidney disease, or high blood pressure
  • Living with a single kidney
  • IVF pregnancies
  • Placental abnormalities

Types of Hypertension in Pregnancy

  • Gestational Hypertension:​
    Develops after 20 weeks of pregnancy, with high blood pressure but no protein in the urine or organ damage. Some women with gestational hypertension may develop pre-eclampsia later in pregnancy.
  • Chronic Hypertension:​
    High blood pressure present before pregnancy or occurring before 20 weeks of gestation. This type may go undiagnosed if regular BP checks were not done before pregnancy.
  • Chronic Hypertension with Superimposed Pre-Eclampsia:
    Women with chronic hypertension who develop worsening blood pressure, protein in the urine, or other complications during pregnancy.
  • Pre-Eclampsia:​
    A serious pregnancy complication that includes high blood pressure, proteinuria (protein in the urine), and signs of organ damage. If left untreated, it can lead to severe complications for both mother and baby.
  • Eclampsia:
    A severe form of pre-eclampsia that leads to seizures, which can be life-threatening for both mother and baby.

Symptoms of PIH & Pre-Eclampsia

Look out for the following warning signs:

  • Severe headaches
  • Blurred vision or sensitivity to light
  • Pain in the upper abdomen (under the ribs, right side)
  • Nausea or vomiting
  • Sudden swelling in the face, hands, or feet
  • Decreased urine output
  • Shortness of breath (fluid in the lungs)
  • Dizziness or fainting spells
  • Spots or flashes before your eyes
  • Blood in urine
  • Decreased levels of platelets in your blood (thrombocytopenia)
  • Impaired liver function

If you experience any of the symptoms mentioned, immediately report to your Gynecologist or health care provider.

Complications of PIH

If left unmanaged, hypertension in pregnancy can lead to:

  1. Preterm Labour: Premature birth due to complications.
  2. Placental Abruption: The placenta partially or completely separates from the uterus before birth, depriving the baby of oxygen and nutrients.
  3. Intrauterine Growth Restriction (IUGR): The baby may have restricted growth due to reduced blood supply.
  4. Organ Damage: Liver, kidney, and blood clotting issues.
  5. Stillbirth (IUD – Intrauterine Death): In severe, untreated cases.
  6. Postpartum Hypertension: Some women may continue to experience high blood pressure after delivery, requiring continued medical care.

Managing PIH for a Healthy Pregnancy

  • Follow Your Doctor’s Advice – Attend all antenatal appointments and take prescribed medications as directed.
  • Rest as Advised – Your doctor may recommend bed rest depending on your blood pressure.
  • Manage Stress – Meditation, deep breathing, and engaging in relaxing activities can help.
  • Reduce Salt Intake – Cut down on processed foods, salty snacks, and added table salt.
  • Eat a Nutritious Diet – Prioritise whole grains, fruits, vegetables, lean proteins, and healthy fats.
  • Stay Active – Engage in light exercises such as walking or prenatal yoga if approved by your doctor.
  • Stay Hydrated – Drink plenty of water to maintain proper circulation.
  • Monitor Your Blood Pressure – Regularly check your BP at home and report any concerns to your doctor.

Maintaining a healthy blood pressure throughout pregnancy is crucial for both maternal and foetal well-being. Early detection, lifestyle modifications, and regular medical check-ups can help prevent complications.

  1. Start healthy habits before pregnancy to reduce your risk of PIH.
  2. Listen to your body and report any unusual symptoms to your doctor.
  3. Prioritise a balanced lifestyle with a nutritious diet, regular movement, and stress management.
  4. Remember, a Healthy Mother = a Healthy Baby!

💬 Have you experienced hypertension during pregnancy? Share your experience in the comments below!

#BeTheForce 

Disclaimer: The information provided in this blog is for general awareness and educational purposes only. It is not intended to replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider for personalised medical guidance or concerns related to your health.

August 18, 2024 By Apurwa Agrawal 3 Comments

Antenatal Exercises for a good pregnancy

safe-pregnancy-exercises

One of the most beautiful experiences a woman can have is that of being pregnant. However, a first-time pregnancy often brings with it a lot of uncertainty and hesitancy. To ease this pressure, I decided to share my experience of pregnancy and how I overcame the uncertainties and other challenges.

Ideally, a woman should enjoy her pregnancy, indulging herself without being overly concerned with the weighing scale. I understand that the body undergoes several changes during this period, which can create mental and physical stress. Hormonal changes also occur, with one of the major hormones, RELAXIN, causing joint to become hypermobile and increasing ligament laxity, which can lead to pain and inflammation.

How Do We Balance This Situation with Recommendations for Pregnancy?

Just two words – Prenatal Exercises

Yes, you heard it right!

A sensible workout plan and willpower during pregnancy were key for me. Being open to maintaining self-control and moderation with indulging truly made all the difference.

It is recommended that women who have normal, healthy pregnancy should get 30 minutes of exercise on most days of the week (at least 5 days).

Let’s take a look at how these exercises help during pregnancy:

  • Reduces aches and pains during pregnancy
  • Improves stamina and provides more energy to cope with the growing demands of pregnancy
  • Improves posture and sleeping patterns
  • Helps in more controlled weight gain
  • Increases the chance of a normal delivery
  • Enhances psychological well-being
  • Increases circulation, thereby reducing swelling and edema
  • Reduces the risk of gestational diabetes and pregnancy-induced hypertension

Keep these tips in mind while exercising:

  • Always warm up before exercising, and cool down afterward
  • Avoid any strenuous exercise in hot weather
  • Drink plenty of water and other fluids
  • If you attend exercise classes, make sure your instructor is properly qualified and knows that you’re pregnant including how many weeks pregnant you are
  • Swimming is a good cardio exercise as the water supports your increased weight, but it should be done under the supervision of a professional trainer.

If you’ve never worked out before, start slowly. Listen to your body and proceed accordingly. There’s no point in rushing and risking injury. Additionally, there are certain situations in which you should stop exercising immediately:

  • Excessive shortness of breath
  • Chest pain or palpitations
  • Pre-syncope or dizziness
  • Painful uterine contractions or preterm labour
  • Leakage of amniotic fluid
  • Vaginal bleeding
  • Excessive fatigue
  • Abdominal pain, particularly in back or pubic area
  • Reduced fetal movement.

I hope this blog encourages you to maintain or increase your fitness level during pregnancy. I’ll be sharing my workout routine in my next blog for you to use as a reference or adopt if you feel so inclined. Until then, stay tuned, and feel free to comment if you have any questions and don’t forget to share it with someone who may need it. You can find more articles on Women’s Health here. You can also use the Women’s Care feature in the GOQii App to track your menstrual cycles, pregnancy and more. Download the app now.

#BeTheForce 

Disclaimer: The information provided in this blog is for general awareness and educational purposes only. It is not intended to replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider for personalised medical guidance or concerns related to your health.

January 12, 2024 By Nilakhi Nath 3 Comments

5 Exercises a woman must do during pregnancy

exercises-during-pregnancy1

Pregnancy brings a new meaning to the life of a Woman and it is a period of immense joy and excitement. Carrying a soul within you is a magnificent feeling. An angel within you gives you a new reason to live, to feel motivated, to get inspired and surely to smile and bless the world with all the positivity.

These 9 months are so special and important that people around you are as happy and concerned about your well being as you are. So, let me share some very important points to make your pregnancy a healthy and a happy one.

To keep yourself healthy during this period, you must remain active. Here are the 5 most important exercises a woman must do throughout her Pregnancy. 

  • Walking: One of the easiest things to do to keep you active is Walking. The best part is that you do not require any equipment except for a pair of good shoes. It can be done anytime, anywhere and all throughout your pregnancy. Carry a bottle of water and off you go walking.
  • Stretching: It is one of the most important exercises a pregnant woman is advised to do by her doctor.The reason behind it is that during pregnancy certain muscle groups become weak due to inactivity also less movement of a muscle leads to shortening and tightening of the muscle. Hence, to avoid the shortening of the muscle or the muscle group, a woman must do stretching every day before and after her workout. Stretching the neck, back and chest and legs helps to relieve the aches and fatigue.
  • Butterfly Pose: Butterfly pose is a deep inner thigh and groin stretch. This is the stretch which is going to help you the most during the last stages of pregnancy and you will thank yourself for doing it every day during this period. Bend your knees and place the soles of your feet together. Slide the feet closer to your groin and allow your knees to widen away from each other towards the floor. Hinge forward at the waist and fold forward towards your feet while keeping your spine straight. Breathe deeply and hold the pose between 30 seconds to five minutes.
  • Cat and Camel Pose: This pose is helpful in maintaining the flexibility of your spine and also will be strengthening your back. Get down on all fours on your mat. Place your hands directly below your shoulders. Now lift your buttocks up towards the ceiling so that your lower back is concave. As you do this your head will lift up naturally towards the ceiling. Now round your back like the hump of a camel and roll your head towards your chest.
  • Child Pose: One of the most relaxing posse in Yoga. It is safe to be done in any stage of Pregnancy with some modifications. It lengthens the spine and also is a great hip opener.   Come into the posture by kneeling on both knees at a slightly wide but, comfortable distance apart from one another. This distance should be wider than hips width. No need to obsess about the distance, you can always adjust once in the pose to whatever feels comfortable. Then sit on your heels (which should be facing up), and lean forward slowly with your body, walking your arms out long in front of you. Make sure you are breathing as you come into the pose and are not holding your breath, especially if you are feeling any sensation or even pain at this point. Keep breathing normally for as long as you are holding the pose. You can keep a pillow under your belly, knee and feet for a good support. Slowly walk your arms under you and release the pose.

These are the five most easy and beneficial exercises a pregnant woman must do to have a safe and healthy pregnancy.

Remember to have a word with your doctor before you start practicing any of the above mentioned exercises. Your doctor’s consent is must for your healthy pregnancy and a healthy baby.

If you found this information helpful, we’d love to hear your thoughts in the comments below. Find more articles on Women’s Health here. For further information or guidance, reach out to our certified experts by subscribing to GOQii’s Personalised Health Coaching here.

#BeTheForce

December 20, 2023 By Trupti Hingad Leave a Comment

Breathe Easy Through Pregnancy: A Guide to Prenatal Breathing Techniques

As you enter motherhood after conceiving, there are a lot of tips given to pregnant women on what to eat, how to stand, sit, how to sleep and so on.

But, one of the most important things to learn during pregnancy is how to breathe. The correct breathing technique makes a world of a difference because it helps every cell. Hence mother-to-be can master the techniques throughout pregnancy. Breathing is very important during pregnancy as it ensures efficient removal of waste from the body as well as get a plentiful supply of oxygen for both the mother and child. Effective breathing purifies and calms the nervous system and induces a feeling of pleasant well-being.

One can learn the following practices throughout pregnancy so that at the time of labour they become second nature.

Let me list down the types of breathing that can be practised during pregnancy.

Equal Breathing: While standing, sitting or lying down, breathe in fully, slowly and rhythmically, without jerks, using the whole respiratory system of the abdomen, chest, pharynx and nose. Breathe out an equal number of counts. Concentrate on breathing in = life-giving air and breathing out. A feeling of peacefulness or quietness floods in. This technique has a great advantage to relax during labour. This gentle breathing helps to relax the uterine muscles and diverts the mind.

Diaphragmatic Breathing: While lying down on the back, flex the knees and keep the feet flat on the ground or bed. Keep one hand on the abdomen and keep one beside you. Slowly concentrate on the abdomen rising rhythmically with each inhalation and relaxation during exhalation. Thus, feel the abdomen rising and falling with breathing. Count up to ten seconds. Do not use force or jerks while inhaling. It helps to deal with stress for the Mother-to-be. The diaphragm muscle is supposed to rhythmically massage the organs of the body. The massage gently encourages blood flow, lymph flow, nutrient delivery, and waste removal in the organs and all tissues of the body, including tissues in the womb.  It also helps one deal with Shortness of Breath.

Chest Level Breathing: Place your hands on your chest, below your collarbone. In addition, you can have your partner place one hand at the same level on your back. Now breathe in and out through your mouth up to your hands, a shallow, slow and gentle breath. The rib cage and thoracic cavity expand to the sides, front and back for each inhalation and exhalation.  Do about 10-12 breaths in 30 seconds. If you exceed 12 breaths, then slow down.

Jaw Level Breathing – “OUT”: The jaw level breathing entails simply saying the word OUT with stress on T. Do not worry about your breathing; it will take care of itself as you say the word. Count about 20-25 breaths in 30 seconds.

Rechaka Pranayam or Expulsion Breathing: Breathing out and maximizing exhalation is a secret of relaxation while in labour. Breathe in for a count of four seconds or as convenient and slowly breath out for double the count. Again, take one breath in and breathe out for double the count. This can be done whenever a contraction is felt in the first stage of labour, while the opening of the cervix is dilating. An alternative to the same is to breathe in air and while exhaling, hum Aum or any pleasing sound. Singing works on the same principle of exhalation. Mental relaxation and peace are felt.

Blowing: At times breathing in from the nose, blowing out through the mouth and repeating the whole procedure, helps a great deal. Retaining breath and thrashing around with anxiety and clutching onto things can cause tension, exhaustion and discomfort. The secret is to LET GO! You are in a partnership with your baby to help them to emerge gracefully.

The Second Stage of Labour: When the mouth of the uterus is dilated completely, is the time of actual active pushing, not before that. When the contractions come, the breathing technique at that time would be to take a breath, hold it in and push down hard as if one is expelling a hard bowel movement. While the contraction lasts, again take in a deep breath, hold it in and push as long as possible. Do these two or three times during a contraction. Between contraction, the mother should relax in abdominal breathing. Continue till the baby is out. Soon you will hear the cry of your baby.

During the Third Stage of Labour: This stage of delivery is of the placenta. Breathe normally. It usually separates and comes within five or fifteen minutes. Slight uterine contractions may be felt during this period as the placenta slips out. This is the time to relax well. There should be relaxed joyful feeling throughout.

Benefits of Breathing Exercise:

  1. Calm deep breathing can help you deal with morning sickness in early pregnancy
  2. Deep breathing can help you fall in deep and rejuvenating sleep. Deep breathing with active visualization of images of your muscle groups relaxing can put your body in a state of relaxation. After this, one can imagine the healthy growth of both the mother and the child to help you fall into a happy sleep.
  3. Regular and proper breathing can help you deal with labour pain easily.
  4. Breathing can help transport nutrients and oxygen well to the baby and result in healthy baby growth
  5. Breathing can help you deal with, stress, depression, feeling low and unwanted advice from others during pregnancy as well.

NOTE: If you every feels dizzy during breathing practices, cover your nose and mouth with your palms and blow out once. Then breath normally. This will re-establish the proper balance of oxygen and carbon dioxide in your body and relieve dizziness if it is experienced.

If this article helped you, let us know your thoughts in the comments below. You can find more articles on women’s care here. To keep a track of your pregnancy, you can also download the GOQii App here and access the Women’s Care Feature.

For more tips on how to manage your health during pregnancy, reach out to your GOQii Coach by subscribing for Personalised Health Coaching here.

#BeTheForce 

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