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Ambulatory management of chronic hypertension in pregnancy

Mary Ames1, Jose Rueda, Aaron B Caughey

  • 1Department of Obstetrics & Gynecology, Division of Maternal Fetal Medicine, Oregon Health & Science University, Portland, Oregon, USA. ames@ohsu.edu

Clinical Obstetrics and Gynecology
|July 26, 2012
PubMed

Chronic hypertension in pregnancy is one of the most common medical diseases affecting pregnancy. It is associated with serious maternal and fetal complications, including superimposed pre-eclampsia, fetal growth restriction, premature delivery, placental abruption, and stillbirth. Baseline evaluation as early as possible is important to differentiate women with essential hypertension from those with severe hypertension, coexisting end-organ damage, and secondary causes of hypertension, as their risks of poor outcomes are increased. An optimal plan for maternal treatment and fetal surveillance can then be formulated. Coordination of care after delivery is important for long-term maternal health and future pregnancies.

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