Impact of Diabetes and Hypertension on Pregnancy

Managing a pregnancy while living with chronic conditions like diabetes or hypertension requires extra care to ensure the best outcomes for both mother and baby. These conditions can increase the risk of complications, but with expert medical support, lifestyle management, and close monitoring, you can have a healthy and successful pregnancy.

Dr. Basu provides specialised pregnancy care in Brisbane for people with pre-existing medical conditions, offering personalised guidance and comprehensive support throughout your journey.

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Diabetes and Pregnancy: Managing Your Blood Sugar Levels

Diabetes—whether pre-existing type 1, type 2, or gestational diabetes—affects how your body regulates blood sugar. During pregnancy, high blood sugar levels can increase risks for both mother and baby, but proper management can help ensure a healthy outcome.

How Diabetes Affects Pregnancy:

• Higher chances of preterm birth, excessive fetal growth (macrosomia), or birth complications
• Increased likelihood of preeclampsia (high blood pressure with pregnancy-related complications)
• Potential risk of low blood sugar (hypoglycemia) in newborns

Managing Diabetes During Pregnancy:

• Pre-pregnancy planning: If you have pre-existing diabetes, work with your doctor to stabilise your blood sugar before conception.
• Regular blood sugar monitoring: Keeping glucose levels in a healthy range is essential.
• Diet and lifestyle adjustments: Focus on a balanced diet and regular exercise.
• Medication management: You may need insulin adjustments or other medications tailored to pregnancy.
• Frequent antenatal appointments: To monitor your baby’s growth and development.

With the right care and support, women with diabetes can have healthy pregnancies and safe deliveries.

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Hypertension and Pregnancy: Protecting Your Heart and Baby

Hypertension (high blood pressure) before or during pregnancy can increase risks for preeclampsia, placental issues, and adverse outcomes for both the mother and the developing fetus . Proper blood pressure control is key to reducing complications and ensuring a healthy pregnancy.

How Hypertension Affects Pregnancy:

• Increased risk of preeclampsia (a serious condition that affects the liver, kidneys, and placenta)
• Restricted fetal growth due to reduced blood flow to the placenta
• Preterm birth or low birth weight

Managing Hypertension During Pregnancy:

• Blood pressure monitoring: Regular checks to detect any concerning changes early.
• Healthy diet and exercise: A balanced diet rich in fruits, vegetables, and whole grains can help manage blood pressure.
• Safe medications: Some blood pressure medications are safe during pregnancy, while others may need to be adjusted.
• Monitoring baby’s growth: Regular ultrasounds for growth and doppler studies to assess blood flow to the placenta.

With proper medical care and lifestyle changes, women with hypertension can have a healthy pregnancy and birth experience.

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Other Chronic Conditions That Can Affect Pregnancy

While diabetes and hypertension are among the most common chronic conditions affecting pregnancy, other medical conditions may also require specialised care:

Thyroid Disorders (Hypothyroidism & Hyperthyroidism)

• Can affect fetal brain development and increase the risk of pregnancy complications.
• Requires regular thyroid hormone monitoring and medication adjustments.

Autoimmune Diseases (Lupus, Rheumatoid Arthritis, etc.)

• May increase the risk of preterm labor or pregnancy loss.
• Requires close coordination between your obstetrician and other specialists. 

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When to Seek Medical Advice for Chronic Conditions in Pregnancy

If you have a chronic condition and are planning to conceive or are already pregnant, early consultation with an obstetrician is essential. Seek medical attention if you experience:

• Significant blood sugar fluctuations
• Severe headaches, vision changes, or sudden swelling (possible signs of preeclampsia)
• High or uncontrolled blood pressure readings
• Persistent dizziness, shortness of breath, or rapid heart rate

Early intervention and a comprehensive pregnancy care plan can help reduce risks and improve outcomes for both mother and baby.

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Pregnancy Care for People with Chronic Conditions

Dr. Basu provides specialised care for people with pre-existing conditions, offering a holistic, patient-centred approach to pregnancy management.

Book an appointment today to discuss your pregnancy health plan and ensure the safest experience for you and your baby.