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Severe systemic hypertension during pregnancy
F A Van Assche1, B Spitz, L Vansteelant
1Department of Obstetrics and Gynecology, University Hospital K.U. Leuven, Belgium.
Severe hypertension during pregnancy remains an important cause of maternal mortality. Cerebral complications are frequently responsible for these deaths. Early detection of preeclampsia and preventive treatment are certainly goals for the future. In the management of severe pregnancy-induced hypertension, central issues are delivery and antihypertensive and anticonvulsive treatment. Cerebral disease consists mainly of bleeding and edema. Antihypertensive therapy can be dangerous and it is essential that hemodynamic control is provided.
Severe hypertension during pregnancy remains an important cause of maternal mortality. Cerebral complications are frequently responsible for these deaths. Early detection of preeclampsia and preventive treatment are certainly goals for the future. In the management of severe pregnancy-induced hypertension, central issues are delivery and antihypertensive and anticonvulsive treatment. Cerebral disease consists mainly of bleeding and edema. Antihypertensive therapy can be dangerous and it is essential that hemodynamic control is provided.