Monday, 2 December 2013

Hypertension in pregnancy - classification

Hypertension is one of the common medical complications in pregnancy.
If left untreated it can lead to serious problems.
But early recognition and prompt treatment can save the mother and child.


Classification of hypertensive disorders of pregnancy:
By working group of the NHBPEP (2000).
1. Gestational hypertension
2. Preeclampsia
3. Eclampsia
4. Preeclampsia superimposed on chronic hypertension.
5. Chronic hypertension

Hypertensive disorders preceding pregnancy are more ominous than preeclampsia and eclampsia. Resting blood pressure of 140/90 mm of hg or greater, when korotkoff sounds phase V is used to define diastolic pressure is needed for diagnosis of hypertension.
Rise of 30 mm of hg systolic, 15 mm of hg diastolic, warrant close observation.


-Hypertension in pregnancy-classification
-Hypertension in pregnancy-gestational hypertension
-Preeclampsia
-Eclampsia, preeclamsia superimposed on chronic hypertension
-Chronic hypertension
-Hypertension in pregnancy-etiology and pathogenesis
-Pathology
-Mild hypertension in pregnancy-prevention and management
-Severe hypertension in pregnancy-management
-Severe preeclampsia in pregnancy-management
-Complications of hypertension
-Antihypertensive therapy- centrally acting drugs
-Antihypertensive therapy-beta blockers, calcium channel blockers
-Antihypertensive therapy-alpha blockers, vasodilator, diuretics, ACE inhibitors
-Acute severe hypertension - treatment
-Eclampsia - signs and symptoms
-Eclampsia - management


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