Pregnant women occasionally experience an increase in blood pressure known as gestational hypertension or pregnancy-induced hypertension (PIH). In a more severe condition called preeclampsia, a rise in blood pressure is accompanied by protein in the urine and sometimes by sudden weight gain, swelling in the face or hands, and other symptoms. When left untreated, preeclampsia can lead to seizures (called eclampsia) or liver, kidney, or bleeding problems in the mother and distress or growth retardation in the fetus. Unless preeclampsia is mild, doctors usually seek to deliver the baby early.

Principal Proposed Natural Treatments

Although there are no fully established natural treatments for the prevention of preeclampsia or PIH, calcium has shown significant promise.

Calcium

A meta-analysis (statistical review) of 11 studies of calcium supplementation in pregnancy, involving a total of more than 6,000 women, found that calcium slightly reduced the risk of preeclampsia and hypertension, particularly in two groups of women: those at high risk for hypertension and/or those with low calcium intakes. 1

However, by far the largest single study in the meta-analysis found no benefits. 2 In this double-blind study, researchers gave either 2 g of calcium or placebo daily to 4,589 women from weeks 13 to 21 of their pregnancy onward. In the end, researchers found no significant decreases in rates of hypertension or preeclampsia—not even when they looked specifically at women whose daily calcium consumption mirrored that of women in developing countries.

The meta-analysis included this negative study in its calculations, but still found that calcium seemed to be helpful.

In a subsequent double-blind, placebo-controlled study published in 2006 and conducted by the World Health Organization, calcium supplements (1.5 grams per day) were tried in 8325 pregnant women whose calcium intake was inadequate. 28 Calcium failed to reduce the incidence of preeclampsia. However, it did appear to reduce the severity of preeclampsia episodes that did develop.

The bottom line: Calcium might be of some benefit for those pregnant women who are at high risk for hypertension or deficient in calcium. However, for well-nourished, low-risk women, effects are likely to be minimal or nil.

All of the above refers to preventing preeclampsia. One double-blind, placebo-controlled study suggests that calcium supplements are not effective for treating preeclampsia that has already developed. 3

Note: Calcium appears to offer the additional benefit of reducing blood levels of lead during pregnancy. 4

Interestingly, weak evidence hints that use of calcium by pregnant mothers might reduce risk of hypertension in their children. 33

For more information, including dosage and safety issues, see the full Calcium article.

Other Proposed Natural Treatments

Antioxidants are substances that fight free radicals, dangerous naturally occurring molecules that may play a role in preeclampsia. For various theoretical reasons, it has been proposed that use of antixidants by pregnant women may help stop preeclampsia from developing. One double-blind, placebo-controlled study found evidence that a combination of the antioxidant vitamins vitamin E (400 IU daily) and vitamin C (1,000 mg daily) reduced incidence of preeclampsia. 5 Benefits were also seen in another study of this combination, 25 , as well as a study using a mixture of numerous antioxidants along with other nutrients. 32 Additionally, a double-blind trial found potential preventive effects with the antioxidant substance lycopene (taken at 2 mg twice daily). 21 However, researchers caution that further study is necessary: Many other treatments have shown initial promise for preventing preeclampsia, but lost luster when subsequent studies were performed. The most prominent of these once-promising substances include folate , magnesium , omega-3 fatty acids (fish oil), and zinc . 7–17,22,24 Furthermore, a large follow-up study of vitamin E combined with vitamin C failed to find any benefit,29 and in a review of 10 studies involving a total of 6,533 subjects, antioxidant supplementation (of mostly vitamins E and C) during pregnancy did not reduce the risk of pre-eclampsia or any of its complications.34

Other studies have looked at possible treatments preeclampsia once it has already occurred. Results are somewhat positive, though mixed on the potential benefits of arginine for this purpose. 26,27, 30Evening primrose oil has failed to prove helpful 20 as has a combination of vitamin C , vitamin E , and the drug allopurinol. 6 However, magnesium , taken by injection but not orally, appears to provide meaningful benefits. 18,19,23

One study failed to find n-acetylcysteine helpful for severe preeclampsia. 31