Anna Rapacz, Barbara Filipek
Nadciśnienie tętnicze w ciąży
2009-09-15
Hypertension in pregnancy - Hypertension remains a very serious obstetric problem and a severe pregnancy complication. Pregnancy induced hypertension is defined as a blood pressure is 140/90 mmHg on at least two occasions after 20th week of gestination in women known to be normotensive beforehand. Hypertension is regarded as severe if there are sustained rises in blood pressure to at least 160 mmHg (systolic), at least 110 mmHg (diastolic) or both. If hypertension is associated with proteinuria we recognize preeclampsia. Preeclampsia is a major cause of maternal mortality and morbidities, perinatal deaths, preterm birth and intrauterine growth restriction. Eclampsia is occurrence of seizures in women with preeclampsia. Women with severe preeclampsia or eclampsia may manifest a variety of life-threating complications including hemolysis, elevated liver enzymes, low platelet count syndrome (HELLP syndrome). The management of pregnant women with hypertension involve timely diagnosis, nonpharmacological therapy, pharmacological therapy and close observation.Keywords: hypertension, pregnancy, antihypertensives.