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3 Cards in this Set
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Define pre-eclampsia
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Pregnancy induced hypertension AND proteinuria
Hypertension defined as >140/90mmHg on two occasions more than 4 hours apart OR diastolic .110mmHg on any one occasion or systolic >160mmHg on any one occasion Or 30mmHg above booking systolic or diastolic blood pressure of 15-25mmHg above booking |
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What are the three types of hypertension in pregnancy?
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Pre-existing (essential) <20weeks gestation
More common in older women In a young woman consider rare secondary causes – renal disease, cardiac disease, Phaechromocytoma, endocrine disorders such as Cushing’s Pregnancy induced (NO proteinuria) Pre-eclampsia (PIH + proteinuria +/- multisystem involvement |
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What is essential hypertension in pregnancy associated with and how is it managed?
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Superimposed pre-eclampsia
Increased risk placental abruption and IUGR May be able to discontinue antihypertensives in first and second trimester Commonly used = methyldopa, labetalol and nifedipine ACE inhibitors and diuretics are CONTRAINDICATED but can be used in puerperium |
