Monica is an African American woman, who was exposed to radiation from work. Her case study reveals she has diabetes, hypertension, type 2 obesity based upon her BMI, dyslipidemia and she takes medications not approved for pregnancy. High blood pressure in pregnancy can pose a variety of risk factors, such as reduced blood flow to placenta which causes the baby to receive less oxygen and nutrients. Monica also received ACE drugs, which could have caused birth defects. Many black women are faced with many obstacles, and struggle to find the best reproductive health care. Monica’s access to reproductive care allows her to plan for her children and improves childbirth and pregnancy outcomes.
Treatment of a pregnant woman will depend on the gender, her gestational age and whether or not there is pre-eclampsia. The American recommendations endorse methyldopa as an initial medication for the management of non-severe hypertension (Braunthal & Brateanu, 2019).
Monica does not know the medical history of her biological father because she was adopted. Because these conditions are more common among blacks, it’s important to think about diabetes, obesity and hypertension before you start a family. (Reuven. et. al., 2016). (Reuven et al., 2016). High chances exist that American blacks will have hypertension more often than those from Africa due to environmental or behavioral factors. They could trigger latent hypertension-raising mechanisms among African-Americans, either directly or indirectly. Fuchs (2011) suggests the “slavery hypertension hypothesis” that increased blood pressure among blacks could be due to enslaved persons’ ability to preserve salt. This protected them against deadly salt-depleting illnesses such as vomiting and diarrhea during stormy Atlantic passage. Hypertension would be caused by the higher sodium content of American food compared to African foods. The validity of this idea is not easy to confirm or demolish.
Healthy pregnancy and healthy birth can all be possible with preconception. It is important to start preconception treatment at least three months in advance of the expected due date. Women may require more time to get ready for the pregnancy. You should use contraceptives to prevent a possible loss of fetus. It is also important to control risk factors for heart disease such as obesity, hypertension and arterial hypertension.The risk of cancer, diabetes, and gynecological issues such as dyslipidemia and gynecological disease can be increased by these factors.
Commentary
As the major cause of maternal mortality and sickness, up to 10% pregnancies can be complicated by gestational or preexisting hypertension. Pre-conception concerns can be raised by ACE inhibitors and hypertension medication. The superior drug would therefore be methyldopa. Your opinion that Monica should be treated with Labetalol is incorrect. Magee and colleagues recently published a study. Magee & al. (2015) found that labetalol is less effective than methyldopa in avoiding adverse outcomes for mother and baby. Women on oral labetalol were found to spend more time below 80mmHg than women who took modified release Nifedipine. This indicates that their risk for low blood supply to the uterus and placenta may be higher.
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