Low Blood Pressure In Pregnancy: Causes, Symptoms And Treatment

Low Blood Pressure In Pregnancy

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Pregnancy is associated with a lot of bodily changes, low blood pressure being one of them. It is common, and normal, for your blood pressure to go down during pregnancy, and come back to normalcy soon after the delivery. Usually, it does not lead to any major health issues but could become bothersome in some cases.

MomJunction explains the causes, symptoms, and risks of low blood pressure during pregnancy and the different ways to treat the condition.

What is low blood pressure?

When the force of blood flow in the arterial walls reduces, it is called low blood pressure. Low blood pressure has the systolic to diastolic reading of 90/60mmHg (1). If the top value is less than 90 irrespective of the bottom value, or the bottom value is less than 60 regardless of the top value, it is considered as low blood pressure.

Low blood pressure is perceived to be better than high blood pressure as it reduces the risk of heart diseases and strokes.

However, dangerously low blood pressure can be a cause of concern.

Blood pressure usually remains lower during the first 24 weeks of pregnancy, after which it gradually rises to normalcy (2). There are a few factors that contribute more to low blood pressure during pregnancy. Keep reading to know more.

What causes low blood pressure during pregnancy?

Generally, low blood pressure is due to blood loss, dehydration, heart problems, pregnancy, endocrine problems, nutritional issues, infection allergies, and certain medications (3).

Specific causes of low blood pressure during pregnancy include:

  • Dilation of the blood vessels due to hormonal changes
  • Being in a supine position for long (4)
  • Orthostatic hypotension, a condition that leads to a sudden drop in the blood pressure when you stand up suddenly (5)
  • Blood loss in case of an ectopic pregnancy (6)
  • Dehydration, which reduces the blood volume and leads to a drop in the blood pressure level (7)
  • Hypoglycemia, also known as low blood sugar, which is more likely in women with diabetes (8)

The following section tells about the symptoms of low blood pressure that you must watch out for.

[ Read: Dehydration During Pregnancy ]

What are the signs and symptoms of low blood pressure during pregnancy?

The symptoms and signs of low blood pressure during pregnancy include (9):

  • Fainting
  • Dizziness
  • Weakness
  • Sweating
  • Backache
  • Nausea
  • Muscular twitching
  • Pallor
  • Dyspnea
  • Blurred vision (10)
  • Disorientation

Consult your doctor if you experience any of these symptoms during pregnancy and are restless because of them. A doctor can evaluate the severity of the condition and recommend the appropriate treatment for it. He may suggest changes in your diet and your activity levels to help deal with the condition.

Though low blood pressure is a normal condition during pregnancy, its risks cannot be overlooked.

Is low blood pressure dangerous during pregnancy?

Dizziness or fainting can make a pregnant woman fall, which is highly risky and can lead to (11):

  • Preterm labor
  • Placental abruption
  • Fetal distress and fetal death

Therefore, it is necessary that you be careful while walking or doing any household chores. If you feel like you might faint, immediately sit or lie down and stay that way for some time.

Can low blood pressure affect the unborn baby?

Yes, in some cases. A study on the effect of low blood pressure during pregnancy suggests that low blood pressure does not correlate with poor perinatal outcomes. However, there could be a direct relation between low blood pressure and the birth weight in the case of women whose blood pressure falls on standing suddenly (12).

Next, we talk about the different types of treatments for low blood pressure during pregnancy.

How to treat low blood pressure in pregnancy?

Medication for treating low blood pressure during pregnancy includes the administration of mineralocorticoid 11-Desoxycorticosteronönanthat (Cortiron (R)-Depot). It is recommended when the maternal hypotension is 110/60mmHg and below. It poses no side-effects to the fetus, and may even show an improved fetal outcome (13).

You can also try a few home remedies to manage the condition (7).

[ Read: Nausea And Vomiting During Pregnancy ]

  • Avoid standing up suddenly from a sitting position.
  • Do not stand for a long time.
  • Wear compression stockings that put pressure on your feet and facilitate the blood flow.
  • Have plenty of fluids to keep yourself hydrated.
  • Wear comfortable and loose clothes to keep the body cool.
  • Avoid the consumption of alcohol.
  • Eat smaller meals, several times a day to keep the blood sugar level in check.
  • Increase the intake of salt in your diet (14)

Include foods such as beetroot, nuts, and whole grains (15) in your diet, even though they are known to lower the blood pressure. These foods are rich in other nutrients that are essential during pregnancy.

The best way to deal with low blood pressure during pregnancy is through self-care. Try not to overdo things. If you are bothered by the symptoms, talk to your doctor about it. Do not fret as it will get better over the period.

Do you have any experiences to share? Let us know in the comment section below.

References:

1. What is low blood pressure?; Blood Pressure Association (2008)
2. Low Blood Pressure; Nicklaus Children’s Hospital (2019)
3. P Rachael James and Catherine Nelson-Piercy; Management of hypertension before, during, and after pregnancy; NCBI (2004)
4. Liam Wright; Postural Hypotension In Late Pregnancy; British Medical Journal (1962)
5. Orthostatic Hypotension; National Organization for Rare Disorders (NORD) (2017)
6. Ectopic pregnancy; March of Dimes (2019)
7. Hypotension; NIH
8. Low Blood Pressure – When Blood Pressure Is Too Low; American Heart Association, Inc (2016)
9. Harry Oxorn; Postural Hypotension in Pregnancy; NCBI (1960)
10. Orthostatic Hypotension; Cleveland Clinic (2019)
11. Karisa K. Harland, et al.; Risk Factors for Maternal Injuries in a Population-Based Sample of Pregnant Women; NCBI (2014)
12. Low blood pressure in pregnancy; NCBI (2007)
13. Grünberger W, Parschalk O, Fischl F; Treatment of hypotension complicating pregnancy improves fetal outcome; NCBI (1981)
14. The effect of a low salt diet on blood pressure and some hormones and lipids in people with normal and elevated blood pressure; NIH
15. Five foods to help lower blood pressure; National Heart Foundation Of Australia (2016)

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shreeja pillai

Postgraduate in Chemistry and content writer. She has worked as a research analyst with a leading multinational pharmaceutical company and also holds a diploma in pharmaceutical regulatory affairs. Her interest in the field of medical research has developed her passion for writing research-based articles. She is a writer for MomJunction and aims at providing informative articles based on health and wellness. Apart from writing, she takes a great interest in music and traveling. know more about her at https://www.linkedin.com/in/shreeja-pillai/
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