Hypertension during Pregnancy

January 14th, 2010

During pregnancy marked physiological changes occurs and for successful and happy outcome of pregnancy the female body has to undergo successful physiological adaptation. If the adaptation process is not perfect or appropriate medical disorders may occur during pregnancy. Some of the medical disorders are fairly common during pregnancy and increase in blood pressure is one such common medical problem during pregnancy.

During pregnancy the cardiac output (which the quantity of blood heart has to pump every minute) increases by approximately 40% and the heart rate or pulse rate increases by approximately 10 beats per minute mainly during the last three months of pregnancy. But despite the increase in heart rate the increase in cardiac output is mainly due to increase in stroke volume, which is the amount of blood heart pumps out in every heart beat.

During second trimester of pregnancy there is reduction in the vascular resistance and there is reduction in blood pressure in normal pregnant women. Blood pressure is the result of cardiac output and degree of vascular resistance and if there is reduction in the vascular resistance, blood pressure falls. That is the reason blood pressure of 140/90 mm of Hg is considered very high during pregnancy (mainly during second trimester), whereas the same pressure is considered only the beginning of high blood pressure in general population. High perinatal (4 weeks before delivery to 4 weeks after delivery is the perinatal period) mortality and morbidity is associated even at blood pressure of 140/90 mm of Hg.

Drug Addiction among Women

December 31st, 2009

Drug addiction is a social evil and everyone is aware of it, unfortunately many people are getting addicted to drug everyday, all over the world. Women are not left behind and the number women drug addicts are increasing day by day and the trend is more or less the same everywhere. Urbanization and so called modernization is taking its toll by increasing the social problems like drug addiction (including women) and domestic violence, especially against women. As women are more emotionally vulnerable and if any woman get addicted to drug the drug addiction treatment and drug rehab may be a bigger problem in case of women addicts in compare to male addicts. Keep women addicts away from drug may also pose a bigger challenge for the family members as well as the drug treatment and drug rehab center.

As the drug addiction is increasing the drug treatment centers and drug rehabilitation centers are also increasing in number as well as quality and many of these drug addiction treatment and drug rehab centers are of very high standard and quality in providing the much needed addiction treatment and drug rehab service to the society. These high quality drug addiction treatment centers also have excellent track record of successful drug de-addiction as well as maintaining drug free status of treated addicts. It is more difficult to keep the addicts out of drugs than getting the drug addicts de-addicted. But one should also be aware of fraud and low standard drug addiction centers and should stay away from these low quality drug rehab centers.

Many of the drug addiction treatment centers run on non profit basis and to find these good quality non profit drug addiction treatment centers is not difficult. Anyone can find these non profit drug rehab and drug addiction treatment centers by click of a mouse online.

Medical Problems during Pregnancy

December 23rd, 2009

Millions of women become pregnant every year and a significant proportion of these pregnancies are complicated by one or more of the medical disorders that can occur during pregnancy. Some of the medical disorders during pregnancy are common and some are less common and some of the medical disorders during pregnancy are rare. The pattern of medical disorders during is also changing. Medical science is advancing rapidly and many medical disorders which were considered contraindications of pregnancy few decades ago are no more considered contraindication of pregnancy. Due to advancement of obstetrics, neonatology, obstetric anesthesiology, and medicine, the expectation of happy outcome of pregnancy for the mother as well as the fetus has also increased to a great extent.

Marked physiological changes occur during pregnancy (e.g. marked increase in cardiac output and workload of heart, which is as much as 40% increase) and the mother’s body need to adapt to these physiological changes appropriately to have a good outcome of pregnancy. Medical disorders which interfere with physiological adaptations of pregnancy can increase the risk of a poor outcome of pregnancy and pregnancy may sometimes aggravate the preexisting medical disorder in a woman.

The medical disorders which can occur during pregnancy are preeclampsia (development of hypertension and presence of protein in urine after 20 weeks of pregnancy or gestation) which occurs in approximately 5-7% of all pregnancies, eclampsia, gestational hypertension, aggravation of existing essential hypertension, cardiovascular disorders (like mitral stenosis, mitral and aortic regurgitation etc.), renal disorders, pulmonary hypertension, pulmonary embolism, deep vein thrombosis, hormonal disorders (like diabetes, gestational diabetes, hypothyroidism or hyperthyroidism), blood disorders, neurological disorders, gastrointestinal disorders and liver diseases. The pregnant women are also prone to develop certain bacterial (urinary tract infection, which is very common medical problem during pregnancy) and viral infections (cytomegalovirus infection, rubella, herpes, HIV infection etc.).