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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]
642 Hypertension complicating pregnancy, childbirth, and the puerperium. 642.0 Benign essential hypertension complicating pregnancy childbirth and the puerperium; 642.1 Hypertension secondary to renal disease complicating pregnancy childbirth and the puerperium; 642.2 Other pre-existing hypertension complicating pregnancy childbirth and the ...
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]
Complications of pregnancy are health problems that are related to, or arise during pregnancy. Complications that occur primarily during childbirth are termed obstetric labor complications, and problems that occur primarily after childbirth are termed puerperal disorders. While some complications improve or are fully resolved after pregnancy ...
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 ...
The World Health Organization recommends that women with severe hypertension during pregnancy should receive treatment with anti-hypertensive agents. [4] Severe hypertension is generally considered systolic BP of at least 160 or diastolic BP of at least 110. [3] Evidence does not support the use of one anti-hypertensive over another. [15]
[3] [4] While high blood pressure treatment has been shown to decrease the incidence of severe hypertension during pregnancy, there was no significant difference in pregnancy complications (for example, superimposed pre-eclampsia, stillbrith/neonatal death, small for gestational age). [5]
In particular, beta-blockers are no longer recommended as first-line treatment due to relative adverse risk of stroke and new-onset of type 2 diabetes when compared to other medications, [3] while certain specific beta-blockers such as atenolol appear to be less useful in overall treatment of hypertension than several other agents. [36]