Document Detail


Essential hypertension and pregnancy.
MedLine Citation:
PMID:  348289     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Approximately 1% of pregnancies are complicated by essential hypertension. During pregnancy the blood pressure often stabilizes or improves. In patients with sustained hypertension, prospective controlled studies have demonstrated enhanced fetal survival when the blood pressure was controlled with antihypertensive medication. Such medication must be chosen carefully to avoid fetal and mateerial toxicity, and diuretics and salt restriction during pregnancy should be avoided. Among patients with essential hypertension the problem accelerates late in pregnancy in 2% to 11%; the acceleration may be predicted by determination of maternal mean arterial pressures and intravascular volumes early in pregnancy. The treatment of accelerated hypertension is identical to that of severe pre-eclampsia. Fetal loss is considerable but can be lessened by careful fetal and maternal monitoring and early controlled delivery. The risks of pregnancy in most patients with essential hypertension are small, and essential hypertension is not a uniform contraindication to pregnancy.
Authors:
R A Bear; N Erenrich
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Canadian Medical Association journal     Volume:  118     ISSN:  0008-4409     ISO Abbreviation:  Can Med Assoc J     Publication Date:  1978 Apr 
Date Detail:
Created Date:  1978-07-24     Completed Date:  1978-07-24     Revised Date:  2010-09-02    
Medline Journal Info:
Nlm Unique ID:  0414110     Medline TA:  Can Med Assoc J     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  936-40     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Antihypertensive Agents / therapeutic use
Diagnosis, Differential
Diet, Sodium-Restricted
Female
Humans
Hypertension* / diagnosis,  therapy
Pregnancy
Pregnancy Complications, Cardiovascular*
Chemical
Reg. No./Substance:
0/Antihypertensive Agents
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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