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Gestational hypertension or pregnancy-induced hypertension (PIH) is the development of new hypertension in a pregnant woman after 20 weeks' gestation without the presence of protein in the urine or other signs of pre-eclampsia. [1] Gestational hypertension is defined as having a blood pressure greater than 140/90 on two occasions at least 6 ...
642.1 Hypertension secondary to renal disease complicating pregnancy childbirth and the puerperium; 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
Hypertensive disorders during pregnancy, such as gestational hypertension, preeclampsia, and eclampsia, are a major contributor to maternal and fetal illness and death on a worldwide scale. Around 5-10% of pregnancies are affected by these conditions, with preeclampsia being responsible for up to 14% of maternal deaths globally.
Generally, diseases outlined within the ICD-10 codes O00-O99 within Chapter XV: Pregnancy, childbirth and the puerperium should be included in this category. v t
In the developed world eclampsia rates are about 1 in 2,000 deliveries due to improved medical care whereas in developing countries it can impact 10–30 times as many women. [1] [14] Hypertensive disorders of pregnancy are one of the most common causes of death in pregnancy. [14] They resulted in 46,900 deaths in 2015. [6]
Pre-eclampsia is a multi-system disorder specific to pregnancy, characterized by the new onset of high blood pressure and often a significant amount of protein in the urine or by the new onset of high blood pressure along with significant end-organ damage, with or without the proteinuria.
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.
This can in turn lead to complications like early-onset hypertensive disorders of pregnancy, pre-eclampsia and small for gestational age infants (SGA). [7] Among other causes of hypercoagulability, Antiphospholipid syndrome has been associated with adverse pregnancy outcomes including recurrent miscarriage. [8]