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No single diagnostic test currently exists to predict the likelihood of developing gestational hypertension. High blood pressure is the major sign in diagnosing gestational hypertension. Some women with gestational hypertension may present asymptomatic, but a number of symptoms are associated with the condition.
Hypertensive disease of pregnancy, also known as maternal hypertensive disorder, is a group of high blood pressure disorders that include preeclampsia, preeclampsia superimposed on chronic hypertension, gestational hypertension, and chronic hypertension. [3] Maternal hypertensive disorders occurred in about 20.7 million women in 2013. [1]
While historically both high blood pressure and protein in the urine were required to make the diagnosis, some definitions also include those with hypertension and any associated organ dysfunction. [ 3 ] [ 10 ] Blood pressure is defined as high when it is greater than 140 mmHg systolic or 90 mmHg diastolic at two separate times, more than four ...
642.2 Other pre-existing hypertension complicating pregnancy childbirth and the puerperium; 642.3 Transient hypertension of pregnancy. 642.33 Gestational hypertension, antepartum; 642.4 Mild or unspecified pre-eclampsia; 642.5 Severe pre-eclampsia; 642.6 Eclampsia, unspec. 642.7 Pre-eclampsia or eclampsia superimposed on pre-existing hypertension
The diagnostic criterion for pre-eclampsia is high blood pressure, occurring after 20 weeks gestation or during the second half of pregnancy. [1] Most often it occurs during the 3rd trimester of pregnancy and may occur before, during, or after delivery. [1] The seizures are of the tonic–clonic type and typically last about a minute. [1]
Hypertension occurs in approximately 8–10% of pregnancies. [25] Two blood pressure measurements six hours apart of greater than 140/90 mmHg are diagnostic of hypertension in pregnancy. [32] High blood pressure in pregnancy can be classified as pre-existing hypertension, gestational hypertension, or pre-eclampsia. [33]
Gestational Hypertension If hypertension in the mother occurs after the 20th week and meets certain criteria, this is considered preeclampsia / eclampsia . The mechanism of preeclampsia/eclampsia is unknown, but consequences if left untreated can include fetal growth restriction or death, as well as pose medical risks to the mother.
Prenatal testing is a tool that can be used to detect some birth defects at various stages prior to birth. Prenatal testing consists of prenatal screening and prenatal diagnosis, which are aspects of prenatal care that focus on detecting problems with the pregnancy as early as possible. [1]