Hypertension in Pregnancy
Description
Hypertension existing prior to the onset of pregnancy,hypertension diagnosed prior to 20 weeks estimated gestational age, or persistent postpartum hypertension (>12 weeks postpartum). Hypertension diagnosed during pregnancy may be:
- mild: >140/90mm Hg;
- severe: > 160/110mm Hg.
Risk factors
- Obesity;
- Smoking;
- Family history of HTP;
- Sedentary lifestyle;
- Etnicity (African Americans, Hispanics);
- Stress;
- Drugs (cocaine, methamphetamine).
Associated conditions
- Renal: glomerulpnephritis, interstitial nefritis;
- Retinal: retinopathy;
- Cardiac: cardiomegaly, LVH.
Diagnosis
- History;
- Phisical exam;
- Tests: ECG, Echo;
- Lab: 24 hour urine for proteine and creatinine clearance, electrolytes, blood urea nitrogen,creatinine, uric acid, urinalysis, CBS, platelets, AST, ALT, LDH, urine drug screening, echo (fetal and maternal).
- Fetal US: fetal groth.
- Maternal US: suspected complications such as CVA, chest pain, dyspnea, cardiac failure or hypertrophy.
Recomandation
Patient monitoring
From same category
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