Document Detail


Options and decision-making: hypertensive disorders of pregnancy.
MedLine Citation:
PMID:  20608825     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hypertension remains the most commonly encountered medical condition in pregnant women, complicating up to 15% of all pregnancies. It results in frequent hospital admissions, maternal morbidity and mortality and iatrogenic preterm birth with concomitant neonatal morbidity and mortality. Hypertensive disorders of pregnancy comprise a spectrum of severity ranging from a mild elevation of blood pressure to severe pre-eclampsia and hemolysis, elevated liver enzymes and low platelet syndrome that may result in transient or chronic multiorgan failure. As regular antenatal surveillance is the only manner by which to accurately identify those who are at risk, antenatal care schedules have been designed to detect hypertension and proteinuria. Early referral for specialist care for those who are at risk and those who develop hypertension is encouraged in the hope that this will translate into improved management of women with prophylactic, antihypertensive and anticonvulsant therapy. Advances in the understanding of the pathophysiology of the hypertensive disorders of pregnancy are likely to influence future research into both identifying those who are at risk and the role of interventions, and so lead to improved maternal and neonatal outcomes. This article highlights the pathophysiology of these conditions, the classification and identification of high-risk women, clinical manifestations and options for management.
Authors:
Manju Chandiramani; Karen Joash; Andrew H Shennan
Related Documents :
20308605 - Increased sensitivity to angiotensin ii is present postpartum in women with a history o...
17515455 - Sequential changes in antiangiogenic factors in early pregnancy and risk of developing ...
22081485 - First-trimester diagnosis of cleft lip and palate using three-dimensional ultrasonography.
11724205 - Hemodynamic responses to obstructive respiratory events during sleep are augmented in w...
1695525 - Uterine artery doppler in the investigation of pregnancies with raised maternal serum a...
577605 - Visual abnormalities in a pregnancy following bromocriptin medication.
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Future cardiology     Volume:  6     ISSN:  1744-8298     ISO Abbreviation:  Future Cardiol     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-08     Completed Date:  2010-10-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101239345     Medline TA:  Future Cardiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  535-46     Citation Subset:  IM    
Affiliation:
10th Floor North Wing, KCL Division of Reproduction & Endocrinology, Westminster Bridge Road, London SE1 7EH, UK. manju.chandiramani@kcl.ac.uk
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Female
Humans
Hypertension, Pregnancy-Induced / diagnosis,  physiopathology*,  therapy
Pregnancy
Pregnancy Complications, Cardiovascular / diagnosis,  physiopathology*,  therapy
Prenatal Care
Risk Assessment

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


Previous Document:  Vasopressin-receptor antagonists.
Next Document:  Depression in patients with heart disease: the case for more trials.