Fortnightly Review: The hypertensive disorders of pregnancy

Hypertensive Disorders of Pregnancy.

Elevated blood pressure in pregnancy may represent chronic hypertension (occurring before 20 weeks' gestation or persisting longer than 12 weeks after delivery), gestational hypertension (occurring after 20 weeks' gestation), preeclampsia, or preeclampsia superimposed on chronic hypertension. Preeclampsia is defined as hypertension and either proteinuria or thrombocytopenia, renal insufficiency...

Hypertensive Disorders in Pregnancy

Hypertensive disorders in pregnancy

Hypertensive disorders in pregnancy (HDP) affect 10% of pregnant patients and are the second most common cause of maternal mortality and adverse fetal outcomes in developed countries. HDP is a group of diseases that includes preeclampsia, eclampsia, pregnancy induced hypertension and HELLP syndrome. Inadequate placentation, immune intolerance and genetics are accounted as possible etiological f...

Hypertensive Disorders in Pregnancy

Understand the effects of pregnancy on the maternal cardiovascular system. Devise a clear and rational plan for antepartum care in women with chronic hypertension. Understand the distinction between pregnancy-induced hypertension and preeclampsia, and between “mild” and “severe” preeclampsia. Discuss the risks and benefits of the various preventive strategies for women at highrisk for developin...

Postpartum management of hypertensive disorders of pregnancy: a systematic review

OBJECTIVES Hypertensive disorders of pregnancy (HDP) affect one in ten pregnancies and often persist postpartum when complications can occur. We aimed to determine the effectiveness and safety of pharmacological interventions, other interventions and different care models for postpartum hypertension management. DESIGN A systematic review was undertaken. Nine electronic databases, including Me...