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Chronic hypertension in pregnancy

Ashley N Battarbee1, Rachel G Sinkey1, Lorie M Harper1

  • 1Department of Obstetrics and Gynecology, Center for Women's Reproductive Health, University of Alabama at Birmingham, Birmingham, AL.

American Journal of Obstetrics and Gynecology
|November 13, 2019
PubMed

Insights

Chronic hypertension in pregnancy poses significant risks, including preeclampsia and preterm birth. Further research is crucial for optimal diagnosis, treatment, and reducing racial disparities in maternal and infant outcomes.

Area of Science:

  • Obstetrics and Gynecology
  • Cardiovascular Medicine
  • Public Health

Background:

  • Chronic hypertension is a leading cause of maternal and perinatal morbidity and mortality in the U.S.
  • Pregnancy with chronic hypertension is linked to adverse outcomes like preeclampsia, C-section, fetal growth restriction, and preterm birth.

Purpose of the Study:

  • To review challenges and recent guidelines for diagnosing and managing chronic hypertension in pregnancy.
  • To highlight areas where limited data necessitates further research.

Main Methods:

  • Literature review of current data and guidelines.
  • Analysis of key issues in diagnosis and management.
  • Discussion of optimal timing of pregnancy and contraceptive choices.

Main Results:

  • Limited data exists for optimal blood pressure thresholds for diagnosis and treatment.
  • Long-acting reversible contraception is recommended for well-timed pregnancies.
  • Significant racial and ethnic disparities exist in outcomes.

Conclusions:

  • Prioritizing research on blood pressure thresholds is essential for improving maternal and perinatal outcomes.
  • Interventions are needed to address racial and ethnic disparities in chronic hypertension management during pregnancy.
  • Optimizing pregnancy timing and contraception are key preventative strategies.

Keywords:
chronic hypertensiondeathmorbiditypreeclampsia

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