Hypertension in Pregnancy

Jene Verry Yonathan

FAA 110 013
Forms of Hypertension in
Pregnancy
 Gestational Hypertension
 Preeclampsia
 Chronic Hypertension
Forms of Hypertension in
Pregnancy
 Gestational Hypertension
 Formerly called Pregnancy-Induced
Hypertension
 No proteinuria
Older Criteria for Gestational
Hypertension
 Hypertension after 20 weeks of gestation
 30/15 increase in BP over baseline levels
 No longer appropriate
 73% of patients will exceed 30 mm systolic
and 57% will exceed 20 mm diastolic
Forms of Hypertension in
Pregnancy
 Gestational Hypertension
 Preeclampsia
 Hypertension with proteinuria
 May have other evidence of end-organ disease
 Edema
 Visual changes
 Headache
 Epigastric pain
 Laboratory changes
Preeclampsia
 Hypertension after 20  BP > 160 systolic or >110
diastolic
weeks of gestation  5 grams of protein in 24 hour
 Proteinuria- 300mg urine
 Oliguria
 Edema  Cerebral of visual distrubances
 Pulmonary edema or cyanosis
 Epigastric or RUQ pain
 Impaired liver function
 Thrombocytopenia
 IUGR
Severe Preeclampsia
 BP > 160-180  Low platelets
systolic or 110  Growth restriction
diastolic
 Proteinuria > 5 g per  Decreased AFV
day  Headache
 Pulmonary edema  Epigastric pain
 Oliguria
 Elevated liver
enzymes
Chronic Hypertension
 Pre-existing hypertension
 Hypertension before 20 weeks in the
absence of gestation
 If hypertension persists beyond 6 weeks
postpartum
Fetal Effects
 Increased perinatal morbidity
 Placental abruption
 Fetal growth restriction
 Oligohydramnios
 Fetal distress
THANK YOU