Document Detail

New-onset hypertension in the pregnant patient.
MedLine Citation:
PMID:  7784037     Owner:  NLM     Status:  MEDLINE    
The new onset of hypertension in pregnancy most often reflects preeclampsia, underlying chronic hypertension, chronic hypertension with superimposed preeclampsia, or gestational hypertension, and less commonly is due to substance abuse or any of several rare conditions. The term "pregnancy-induced hypertension" applies to all of these categories, but because it does not adequately and specifically define the patient's condition, its use therefore is discouraged. Attention to accurate identification of the specific type of "pregnancy-induced hypertension" is important since treatment varies depending on the diagnosis and the stage of pregnancy from observation with gestational hypertension to active intervention in the patient with chronic hypertension and superimposed preeclampsia. Both perinatal and maternal outcomes are dependent also on the categorization of the hypertensive disorders of pregnancy. Efforts to selectively identify, correctly diagnose, and optimally treat each hypertensive mother should help to achieve the best possible outcome with the least maternal risk.
E F Magann; J N Martin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology clinics of North America     Volume:  22     ISSN:  0889-8545     ISO Abbreviation:  Obstet. Gynecol. Clin. North Am.     Publication Date:  1995 Mar 
Date Detail:
Created Date:  1995-07-14     Completed Date:  1995-07-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8709551     Medline TA:  Obstet Gynecol Clin North Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  157-71     Citation Subset:  IM    
Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson, USA.
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MeSH Terms
Chronic Disease
Diagnosis, Differential
Eclampsia / diagnosis,  physiopathology,  therapy
Hypertension / classification*,  diagnosis,  physiopathology,  therapy*
Pregnancy Complications, Cardiovascular / classification*,  diagnosis,  physiopathology,  therapy*

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