Hypertension in pregnancy

Marshall D. Lindheimer, Sandra J. Taler, F. Gary Cunningham

Research output: Contribution to journalArticle

86 Scopus citations

Abstract

Hypertension complicates 5% to 7% of all pregnancies. A subset of preeclampsia, characterized by new-onset hypertension, proteinuria, and multisystem involvement, is responsible for substantial maternal and fetal morbidity and is a marker for future cardiac and metabolic disease. This American Society of Hypertension (ASH) position paper summarizes the clinical spectrum of hypertension in pregnancy, focusing on preeclampsia. Recent research breakthroughs relating to etiology are briefly reviewed. Topics include classification of the different forms of hypertension during pregnancy, and status of the tests available to predict preeclampsia, and strategies to prevent preeclampsia and to manage this serious disease. The use of antihypertensive drugs in pregnancy, and the prevention and treatment of the convulsive phase of preeclampsia, eclampsia, with intravenous MgSO4 is also highlighted. Of special note, this guideline article, specifically requested, reviewed, and accepted by ASH, includes solicited review advice from the American College of Obstetricians and Gynecologists.

Original languageEnglish (US)
Pages (from-to)68-78
Number of pages11
JournalJournal of the American Society of Hypertension
Volume4
Issue number2
DOIs
StatePublished - Mar 1 2010

Keywords

  • Preeclampsia
  • blood pressure
  • eclampsia
  • obstetrics

ASJC Scopus subject areas

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine

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