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Pregnancy Induced Hypertension
Pregnancy Induced Hypertension
Induced
Hypertension
Pregnancy Induced
Hypertension (PIH)
Aka toxemia
Includes high blood
pressure disorders caused
or in relation to pregnancy
4 different levels
of hypertensive
disorders in
pregnancy
1. Chronic Hypertension
(discovered prior to 20wks
gestation)
2. Gestational Hypertension
3. Preeclampsia / Eclampsia
4. Preeclampsia / eclampsia
superimposed or chronic
HPN
Predisposing Factors
Age <18 >35y/o
Gravidity
Low socioeconomic factors
Multiple pregnancies
Medical conditions (heart
disease, DM, HPN)
Screening Procedure
Roll over test: done at 28-32 weeks
Lateralrecumbent position for 15
mins until BP stabilizes
Then roll over to supine position
Bp taken 1min and 5mins after
having rolled over
Increase in 30 mmHg, 15mmHg
Prone to PIH
Warning Signs:
Rapid weight gain; 4-5 in
a single week
Increase in BP
Protein in Urine
Severe headaches
Blurry Vision / double
vision
Seeing spots on eyes
Severe pain over
stomach, under the ribs
Decreased amount of
urine
Vomiting of blood
Excessive swelling of
extremities
Blood in urine
Rapid heart beat
Dizziness
Excessive nausea
Excessive vomiting
Ringing or buzzing
sound in ears
Fever
Sudden blindness