The Business of Being Born Message Board

Q: I am 28 years old and have been on blood pressure medication for the past few years. I am thinking of getting pregnant, and am going off of my medication under the advisement of my OB/GYN. What are the chances of me having a healthy pregnancy and not developing complications/high blood pressure.

A: There is never one straight answer to a medical question such as yours. A lot depends on the underlying cause of your high blood pressure as such a relatively early age. I think you have done the proper thing by seeking care with an Ob/Gyn and if he/she suggests getting off the medication and is supportive of your wish to become pregnant then it must not be too bad. If your diagnosis is simply essential (hereditary) hypertension then the chances of you having a successful pregnancy are very high. Blood pressure can be monitored and controlled with safe medications in pregnancy . Sometimes, ultrasound of the blood flow in the uterine arteries in pregnancy can be a helpful predictor of future problems. You might ask your doctor to follow this once you reach the second trimester. You are at a somewhat increased risk of developing worsening hypertension towards the end of your pregnancy and also preeclampsia or slower growth of your baby in the uterus. Your doctor will monitor you for any signs that these things are happening and there are treatments and possible restrictions on your lifestyle that may occur. Sometimes you may benefit from early delivery but for the most part you are likely to go to term and have a healthy baby.