Contents:
- Medical Video: Supine hypotension syndrome
- What is supine hypotension?
- What are the symptoms of supine hypotension?
- Is this condition dangerous?
- So, how do you deal with this condition?
- Can pregnant women with this condition exercise?
Medical Video: Supine hypotension syndrome
Pregnancy basically causes a lot of changes in a woman's body, including a decrease in blood pressure or hypotension. Yes, during pregnancy a woman's blood pressure usually decreases by 15 percent. Many pregnant women experience low blood pressure, especially in the first and second trimesters of pregnancy. But in certain cases, a woman can also experience supine hypotensive disorders.
What is supine hypotension?
Supine hypotensive syndrome (SHT) aka supine hypotensive disorder is a decrease in systolic blood pressure by 30 percent (around 15-30 mmHG) in pregnant women when they are in a supine position.
Systolic blood pressure or the number of blood pressure shows the level of pressure when the heart is pumping blood to flow to all parts of the body.
This condition is caused by the uterus (uterus) that enlarges with increasing gestational age. Enlargement of the uterus will suppress the vena cava (the largest vein of the torso) and the lower aorta when in the teletnang position.
This suppression of the vena cava limits blood flow back to the heart. As a result, there is a decrease in venous return which causes symptoms of low blood pressure. In conditions that are quite severe, this condition will cause the mother to lose consciousness.
Recumbent hypotension usually occurs from the second trimester of pregnancy. However, this condition can also occur in women in the 3rd trimester or 36-38 weeks' gestation. Risk factors for this disorder include multiple pregnancies and obesity. Because both of these things can affect the size, shape, and weight of a woman's uterus.
What are the symptoms of supine hypotension?
When low blood pressure occurs and falls quite dramatically, a woman may develop symptoms such as:
- Tachycardia, fast or weak heartbeat at rest
- Nausea
- Gag
- Pale face
- Cold sweat comes out
- Weak
- Dizzy and feeling very uncomfortable
- Difficulty breathing
- Kliyengan
- Fainted
Symptoms of low blood pressure usually occur temporarily in 3 to 10 minutes after the woman is in a lying or supine position.
Is this condition dangerous?
There is a theory that prolonged or recurrent pressure on a vein can also reduce blood flow to the placenta, which can have a negative effect on fetal development.
The impact caused to the fetus includes fetal distress, aka fetal distress. While in the mother will lead to reduced blood supply to the brain which can cause shock.
In severe cases, this condition can also cause maternal and / or fetal death.
So, how do you deal with this condition?
Many experts suggest pregnant women at the age of more than 20 weeks to sleep on their left side or sitting. It is important for you to avoid standing too long.
Because standing too long, especially in the third trimester, can drastically reduce blood flow back to the heart. This ultimately causes dizziness, fainting, and even injury from falls.
Can pregnant women with this condition exercise?
To prevent supine hypotensive disorders, the American College of Obstetricians and Gynecologists (ACOG) advises women not to exercise in the supine position after the first trimester. If you feel dizzy every time you exercise in a lying position, then stop doing sports with that position.
There have been no studies that support the notion that exercising in the supine position can have a negative effect on fetal development. Not only that, until now there is also no strong enough evidence that resting or sleeping on your back can limit blood flow.
Please consult your obstetrician for more information. The doctor will provide medical advice and treatment that fits your condition.
