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[Management of hypertension in pregnancy].
An Sist Sanit Navar. 2009; 32 Suppl 1:91-103.AS

Abstract

Hypertensive states of pregnancy are a set of disorders that occur during gestation whose common nexus is hypertension. They must be given special emphasis due to their implication in maternal and neonatal morbidity and mortality. A classification is made of the different hypertensive states, with special emphasis placed on preeclampsia. This article defines the symptoms and signs of the disease and a differential diagnosis is made amongst diseases that must be ruled out. It is important to identify expectant mothers with preeclampsia, and it is of even greater importance in such cases to rule out some criterion of seriousness, as this will enable a different management to be carried out. The article includes the indications and the moment when the pregnancy finalises. Similarly, it details the controls that must be made if an expectant management is chosen for the benefit of the premature baby. The different anti-hypertensive therapeutical options are detailed, as well as the prophylactic treatment of eclampsia with magnesium sulphate. Because of their intrinsic interest, we draw special attention to the HELLP syndrome and to eclampsia as complications. The treatment and conduct that must be followed in gestation is described.

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Authors+Show Affiliations

Huarte Ciganda M
Servicio de Obstetricia y Ginecología, Hospital Virgen del Camino, Pamplona, 31008, Spain. m_huartecig@hotmail.com.
Modroño A
No affiliation info available
Larrañaga C
No affiliation info available

MeSH

Decision TreesEclampsiaEmergency TreatmentFemaleHELLP SyndromeHumansHypertensionPre-EclampsiaPregnancyPregnancy Complications, CardiovascularSeverity of Illness Index

Pub Type(s)

English Abstract
Journal Article

Language

spa

PubMed ID

19436343

Citation

Huarte Ciganda, M, et al. "[Management of Hypertension in Pregnancy]." Anales Del Sistema Sanitario De Navarra, vol. 32 Suppl 1, 2009, pp. 91-103.
Huarte Ciganda M, Modroño A, Larrañaga C. [Management of hypertension in pregnancy]. An Sist Sanit Navar. 2009;32 Suppl 1:91-103.
Huarte Ciganda, M., Modroño, A., & Larrañaga, C. (2009). [Management of hypertension in pregnancy]. Anales Del Sistema Sanitario De Navarra, 32 Suppl 1, 91-103.
Huarte Ciganda M, Modroño A, Larrañaga C. [Management of Hypertension in Pregnancy]. An Sist Sanit Navar. 2009;32 Suppl 1:91-103. PubMed PMID: 19436343.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Management of hypertension in pregnancy]. AU - Huarte Ciganda,M, AU - Modroño,A, AU - Larrañaga,C, PY - 2009/5/14/entrez PY - 2009/6/25/pubmed PY - 2009/8/13/medline SP - 91 EP - 103 JF - Anales del sistema sanitario de Navarra JO - An Sist Sanit Navar VL - 32 Suppl 1 N2 - Hypertensive states of pregnancy are a set of disorders that occur during gestation whose common nexus is hypertension. They must be given special emphasis due to their implication in maternal and neonatal morbidity and mortality. A classification is made of the different hypertensive states, with special emphasis placed on preeclampsia. This article defines the symptoms and signs of the disease and a differential diagnosis is made amongst diseases that must be ruled out. It is important to identify expectant mothers with preeclampsia, and it is of even greater importance in such cases to rule out some criterion of seriousness, as this will enable a different management to be carried out. The article includes the indications and the moment when the pregnancy finalises. Similarly, it details the controls that must be made if an expectant management is chosen for the benefit of the premature baby. The different anti-hypertensive therapeutical options are detailed, as well as the prophylactic treatment of eclampsia with magnesium sulphate. Because of their intrinsic interest, we draw special attention to the HELLP syndrome and to eclampsia as complications. The treatment and conduct that must be followed in gestation is described. SN - 1137-6627 UR - https://www.unboundmedicine.com/medline/citation/19436343/[Management_of_hypertension_in_pregnancy]_ L2 - https://recyt.fecyt.es//index.php/ASSN/article/view/6258/5045 DB - PRIME DP - Unbound Medicine ER -