Monday, 2 December 2013

Hypertension in pregnancy - Gestational hypertension

1.Gestational hypertension:
Any form of new onset pregnancy related hypertension.

Development of hypertension in a previously normotensive pregnant woman should and must be considered potentially dangerous to both herself and her fetus.

Diagnosing gestational hypertension:
-BP >/ 140/90 mm of hg for first time during pregnancy.
-No proteinuria.
-BP returns to normal < 12weeks postpartum.
-Final diagnos is made only postpartum.
May have other signs or symptoms as epigastric discomfort or thrombocytopenia etc can present.



-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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