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Published on: May 5, 2018
[Hypertension during pregnancy: the challenge continues]
Martín Rosas-Peralta1, Gabriela Borrayo-Sánchez, Alejandra Madrid-Miller
1División de Investigación en Salud, Hospital de Cardiología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México. gabriela.borrayo@imss.gob.mx.
Hypertensive disorders of pregnancy impact 5-10% of expectant mothers, contributing significantly to maternal and neonatal mortality. This review covers the pathophysiology, progression, and therapeutic options for preeclampsia.
Area of Science:
- Obstetrics and Gynecology
- Cardiovascular Medicine
- Perinatology
Background:
- Hypertensive disorders affect 5-10% of pregnancies globally.
- They are a leading cause of maternal and neonatal morbidity and mortality.
- Conditions include chronic hypertension, gestational hypertension, and preeclampsia.
Purpose of the Study:
- To review the pathophysiology and progression of hypertensive disorders in pregnancy.
- To explore therapeutic options for preeclampsia.
- To consolidate current understanding of pregnancy-induced hypertension.
Main Methods:
- Literature review focusing on pathophysiology and etiology of hypertensive disorders in pregnancy.
- Analysis of research on placental factors, immunological reactions, and maternal constitutional factors.
- Examination of therapeutic strategies for preeclampsia.
Main Results:
- Hypertensive disorders encompass chronic hypertension, gestational hypertension, and preeclampsia.
- Research often focuses on preeclampsia's etiology, exploring placental, immunological, and maternal factors.
- Pathophysiology involves cardiovascular health and endothelial dysfunction.
Conclusions:
- Understanding the continuum of hypertensive disorders in pregnancy is crucial.
- Further research into preeclampsia's etiology and effective therapeutic options is warranted.
- Comprehensive review of pathophysiology and treatment strategies is presented.
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