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Published on: April 7, 2023
Management of Hypertensive Crisis for the Obstetrician/Gynecologist
Jamil ElFarra1, Cynthia Bean1, James N Martin1
1Department of Maternal Fetal Medicine, Winfred L. Wiser Hospital for Women and Infants, The University of Mississippi Medical Center, 2500 N State Street, Jackson, MS 30216, USA.
Abstract:
Hypertensive disorders of pregnancy are among the leading preventable contributors of maternal and fetal adverse outcomes, including maternal and fetal death. Blood pressure increase has a strong association with unfavorable pregnancy outcomes, including stroke and pulmonary edema. A persistent blood pressure measurement greater than or equal to 160/110 mm Hg lasting for more than 15 minutes, during pregnancy or postpartum, is considered an obstetric emergency and requires rapid appropriate treatment. Following evidence-based guidelines, implementing institutional polices, and understanding the classification and pathophysiology of hypertensive disorders of pregnancy are essential and can significantly improve the rate of preventable complications.
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