Gestational hypertension resident survival guide
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Synonyms and keywords: Pregnancy-induced hypertension; PIH; gestational hypertension; pre-eclampsia
Overview
Pregnancy-induced hypertension (PIH) or gestational hypertension, is defined as systolic blood pressure (SBP) >140 mmHg and diastolic blood pressure (DBP) >90 mmHg in pregnant woman who had normal blood pressure prior to 20 weeks and has no proteinuria (excess protein in the urine). It is classified as mild (SBP 140-149 and DBP 90-99 mmHg), moderate (SBP 150-159 and DBP 100-109 mmHg), and severe (SBP ≥160 and DBP ≥110 mmHg). It is about 6-10% of pregnancies. The WHO classified PIH is one of the main causes of maternal, fetal, and neonatal mortality and morbidity[1].gestational hypertension is one of the most common medical disorders affecting pregnancy. The most serious maternal complications of gestational hypertension include intracerebral hemorrhage, eclampsia, and renal failure, as well as hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome and posterior reversible encephalopathy syndrome (PRES).[2]
Causes
Life Threatening Causes
Life-threatening causes include conditions that may result in death or permanent disability within 24 hours if left untreated.
Common Causes
Diagnosis
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Treatment
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Do's
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Don'ts
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References
- ↑ Kintiraki E, Papakatsika S, Kotronis G, Goulis DG, Kotsis V (2015). "Pregnancy-Induced hypertension". Hormones (Athens). 14 (2): 211–23. doi:10.14310/horm.2002.1582. PMID 26158653.
- ↑ Marik PE (2009). "Hypertensive disorders of pregnancy". Postgrad Med. 121 (2): 69–76. doi:10.3810/pgm.2009.03.1978. PMID 19332964.