![]() Otherwise, high blood pressure during pregnancy is classified as chronic hypertension. Gestational hypertension can only be diagnosed if the patient was normotensive prior to 20 weeks' gestation. Occurrence of new-onset hypertension, proteinuria, or end-organ dysfunction at 12 weeks postpartum, a secondary cause should be considered. ![]() May occur without hypertension or proteinuria.A life-threatening form of preeclampsia characterized by H emolysis, E levated L iver enzymes, and L ow P latelets.Superimposed preeclampsia : preeclampsia that occurs in a patient with chronic hypertension.Preeclampsia: new-onset gestational hypertension with proteinuriaor end-organ dysfunction.Hypertensive crisis: systolic blood pressure > 160 mm Hg or diastolic pressure > 110 mm Hg that persists for ≥ 15 min.Chronic hypertension : h ypertension diagnosed before pregnancy or in the first 20 weeks of pregnancy.Does not persist longer than 12 weeks postpartum.Diagnosed after 20 weeks' gestation in patients without a prior history of hypertension.Pregnancy-induced hypertension (d efined as systolic blood pressure ≥ 140 mm Hg or diastolic blood pressure ≥ 90 mm Hg on two separate measurements at least 4 hours apart) without proteinuria or end-organ dysfunction.Delivery is the only curative option for urgent hypertensive pregnancy disorders. Patients with urgent hypertensive pregnancy disorders ( preeclampsia with severe features, eclampsia, or HELLP), which are associated with increased maternal and fetal morbidity and mortality, require urgent maternal stabilization, magnesium sulfate for seizure prophylaxis, and expedited delivery of the fetus. Nonurgent hypertensive pregnancy disorders (chronic hypertension, gestational hypertension, or preeclampsia without severe features) are generally managed with careful monitoring, possibly antihypertensive medications in chronic hypertension, and delivery at 37 weeks if there is no progression to severe preeclampsia. Management depends on the severity of the condition. ![]() These disorders are usually diagnosed during regular prenatal care, which includes routine surveillance of blood pressure, weight, and urine tests. Eclampsia is a severe convulsive manifestation of hypertensive pregnancy disorders that is characterized by new-onset eclamptic seizures ( tonic-clonic, focal, or multifocal). Preeclampsia may also progress to the life-threatening HELLP syndrome, which is characterized by hemolysis, elevated liver enzymes, and low platelet count. Preeclampsia is a condition in which preexisting or new-onset hypertension is complicated by proteinuria and/or other features of end-organ dysfunction after 20 weeks' gestation. Chronic hypertension describes hypertension that is diagnosed prior to pregnancy or in early pregnancy. The most common type is gestational hypertension, also referred to as pregnancy-induced hypertension, which is hypertension that occurs after 20 weeks' gestation. There are four major types of hypertensive pregnancy disorders: chronic hypertension, gestational hypertension, preeclampsia, and eclampsia. ![]() Hypertensive pregnancy disorders are among the most common complications during pregnancy and the early postpartum period. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |