TOWARDS PERSONALIZED MANAGEMENT OF CHRONIC HYPERTENSION IN PREGNANCY

American Journal of Obstetrics and Gynecology
L A MageePeter von Dadelszen

Abstract

Chronic hypertension complicates 1-2% of pregnancies and it is increasingly common. Women with chronic hypertension are easily-recognized and in touch with a wide variety of healthcare providers before, during, and after pregnancy, mandating that chronic hypertension in pregnancy be within the scope of many practitioners. We reviewed recent data on management to inform current care and future research. Narrative review of published literature. Compared with normotensive women, women with chronic hypertension are at increased risk of maternal and perinatal complications. Women wish to be involved in their care and are capable of measuring blood pressure (BP) at home. Accurate devices for home BP monitoring are now available. The diagnostic criteria for superimposed preeclampsia remain problematic, as most guidelines continue to include deteriorating BP control in the definition. It has not been established how angiogenic markers may aid in confirmation of the diagnosis of superimposed preeclampsia when suspected, over and above information provided by routinely-available clinical data and laboratory results. While chronic hypertension is a strong risk factor for preeclampsia and aspirin decreases preeclampsia risk, the effective...Continue Reading

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Citations

Nov 22, 2020·International Journal of Molecular Sciences·Loredana AlboniciRoberto Bei

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Methods Mentioned

BETA
SGA
cesarean

Clinical Trials Mentioned

ISRCTN77258279
NCT04356326
NCT02299414
NCT03245970
NCT02531490

Software Mentioned

LactMed
fullPIERS
CHAP

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