Hypertensive Disorder of Pregnancy
Introduction
Dr. Bodoor Alshareef
Table of contents
- Preeclampsia Pathogenesis and Evaluation
- Management of Hypertensive Disorders of Pregnancy
- Intrapartum and Emergency Management & Prevention
Incidence
Worldwide incidence of hypertensive disorder in pregnancy is 10%. It is one of the leading causes of maternal mortality due to CNS hemorrhage.
Classification
- Gestational HTN
- Chronic HTN
- Preeclampsia with or without severe features
- Chronic HTN with superimposed Preeclampsia
- Eclampsia
Diagnosis of Hypertension
The diagnosis of hypertension should be reserved for pregnant women with a systolic blood pressure ≥140 mm Hg and/or a diastolic blood pressure ≥90 mm Hg.
Gestational HTN
The diagnosis of gestational hypertension is made if hypertension without proteinuria or other signs of organ dysfunction first appears after 20 weeks’ gestation or within 48 to 72 hours of delivery and resolves by 12 weeks postpartum. Formerly called PIH (pregnancy-induced HTN).
Chronic Hypertension
The diagnosis of chronic hypertension requires at least one of the following: known hypertension before pregnancy or the development of hypertension before 20 weeks’ gestation.