Document Detail

Essential hypertension and pregnancy.
MedLine Citation:
PMID:  348289     Owner:  NLM     Status:  MEDLINE    
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.
R A Bear; N Erenrich
Related Documents :
2198919 - Thrombin-antithrombin iii complex levels in normal pregnancy with hypertensive disorder...
698149 - The possible adverse effect of propranolol on the fetus in pregnancies complicated by s...
12190839 - Could an infectious trigger explain the differential maternal response to the shared pl...
365799 - The renin-aldosterone system in dihydralazine therapy during hypertensive pregnancy.
18466419 - Use of antihypertensive drugs during pregnancy and lactation.
20859149 - Maternal pregnancy-related hypertension and risk for hypertension in offspring later in...
23815509 - Bone mineral changes during pregnancy and lactation.
6232849 - Hysteroscopic incision of the septate uterus.
11145369 - Comparison of the performances of tcu380a and tcu380s iuds up to five years.
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    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Antihypertensive Agents / therapeutic use
Diagnosis, Differential
Diet, Sodium-Restricted
Hypertension* / diagnosis,  therapy
Pregnancy Complications, Cardiovascular*
Reg. No./Substance:
0/Antihypertensive Agents

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

Previous Document:  Grain dust and the lungs.
Next Document:  A randomized comparative trial of adriamycin versus methotrexate in combination drug therapy.