Literature review of pregnancy induced hypertension
From: Jason D.
Category: healthy mind
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The treatment of gestational hypertension, in which blood pressure levels spike about halfway through pregnancy, follows a different set of guidelines than the treatment of general high blood pressure. The main goal of treatment is to prevent the development of more serious conditions. Pregnant parents can develop seizures or placental abruption , while their babies can be harmed by fetal growth restriction, pre-term delivery, or stillbirth. There are several strategies to treat hypertension that develops during pregnancy. These strategies are similar to those used to treat preeclampia , which is when a pregnant person has gestational hypertension as well as increased levels of protein in their urine. Up to half of women with gestational diabetes go on to develop preeclampsia or symptoms consistent with it.
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A Comprehensive Review of Hypertension in Pregnancy
Pregnancy-Induced Hypertension | Clinician Reviews
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Pregnancy Induced Hypertension
The pathologies included in the spectrum of hypertensive diseases in pregnancy have long been studied, and studies will certainly continue in this direction as long as these conditions maintain a significant incidence as well as their associated morbidity and mortality rates 1. Methods to prevent the development of pathologies due to placental dysfunctions, such as gestational hypertension and preeclampsia, are the main approaches for obtaining the best maternal and fetal antepartum and postpartum prognosis 2. When corroborated with laboratory and imaging tests 11 , 12 , patients with a high risk of developing preeclampsia can be selected and they can be offered low-dose aspirin therapy starting at the end of the first trimester and an appropriate pregnancy management.
Prediction models for gestational hypertension and preeclampsia have been developed with data and assumptions from developed countries. Their suitability and application for low resource settings have not been tested. This review aimed to identify and assess the methodological quality of prediction models for gestational hypertension and pre-eclampsia with reference to their application in low resource settings. Using combinations of keywords for gestational hypertension, preeclampsia and prediction models seven databases were searched to identify prediction models developed with maternal data obtained before 20 weeks of pregnancy and including at least three predictors Prospero registration CRD
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