Chronic Hypertension in Pregnancy: Diagnosis, Management, and Outcomes

被引:53
作者
Ankumah, Nana-Ama E. [1 ]
Sibai, Baha M. [1 ]
机构
[1] Univ Texas Hlth Sci Ctr Houston, McGovern Med Sch, Dept Obstet Gynecol & Reprod Sci, Div Maternal Fetal Med, 6431 Fannin St,MSB 3-262, Houston, TX 77030 USA
关键词
chronic hypertension in pregnancy; superimposed preeclampsia; antihypertensives; WOMEN;
D O I
10.1097/GRF.0000000000000255
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Chronic hypertension affects up to 5% of pregnancies. Women can be stratified into low-risk or high-risk chronic hypertension based on baseline laboratory and diagnostic work-up, comorbid conditions, and outcomes in prior pregnancies. Pregnancies complicated by chronic hypertension are at risk for increased adverse maternal and neonatal outcomes including superimposed preeclampsia, fetal growth restriction, placental abruption, and perinatal death. Mainstays of management include blood pressure control, close monitoring for development of superimposed preeclampsia, serial ultrasound assessment of fetal growth, and antenatal testing after 32 weeks.
引用
收藏
页码:206 / 214
页数:9
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