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Hypertensive Emergencies in Pregnancy.
Crit Care Clin. 2016 Jan; 32(1):29-41.CC

Abstract

The prevalence of hypertensive disorders in pregnancy is increasing. The etiology and pathophysiology of hypertensive disorders in pregnancy remain poorly understood. Hypertensive disorders are a major cause of maternal and perinatal morbidity and mortality. Treatment of hypertension decreases the incidence of severe hypertension, but it does not impact rates of preeclampsia or other pregnancy complications. Several antihypertensive medications are commonly used in pregnancy, although there is a lack of randomized controlled trials. Severe hypertension should be treated immediately to prevent maternal end-organ damage. Appropriate antepartum, intrapartum, and postpartum management is important in caring for patients with hypertensive disorders.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Olson-Chen C
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Rochester Medical Center, 601 Elmwood Avenue, Box 668, Rochester, NY 14642, USA.
Seligman NS
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Rochester Medical Center, 601 Elmwood Avenue, Box 668, Rochester, NY 14642, USA. Electronic address: Neil_Seligman@urmc.rochester.edu.

MeSH

Antihypertensive AgentsCesarean SectionChronic DiseaseCongenital AbnormalitiesEmergenciesEsophageal AtresiaFemaleHeart Defects, CongenitalHumansHydralazineHypertensionHypertension, Pregnancy-InducedHypospadiasLabetalolLabor, InducedMaleNifedipinePostnatal CarePre-EclampsiaPregnancyPregnancy OutcomePrevalenceUnited States

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

26600442

Citation

Olson-Chen, Courtney, and Neil S. Seligman. "Hypertensive Emergencies in Pregnancy." Critical Care Clinics, vol. 32, no. 1, 2016, pp. 29-41.
Olson-Chen C, Seligman NS. Hypertensive Emergencies in Pregnancy. Crit Care Clin. 2016;32(1):29-41.
Olson-Chen, C., & Seligman, N. S. (2016). Hypertensive Emergencies in Pregnancy. Critical Care Clinics, 32(1), 29-41. https://doi.org/10.1016/j.ccc.2015.08.006
Olson-Chen C, Seligman NS. Hypertensive Emergencies in Pregnancy. Crit Care Clin. 2016;32(1):29-41. PubMed PMID: 26600442.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hypertensive Emergencies in Pregnancy. AU - Olson-Chen,Courtney, AU - Seligman,Neil S, Y1 - 2015/10/06/ PY - 2015/11/25/entrez PY - 2015/11/26/pubmed PY - 2016/9/7/medline KW - Antihypertensive medications KW - Gestational hypertension KW - Hypertensive disorders KW - Preeclampsia KW - Pregnancy SP - 29 EP - 41 JF - Critical care clinics JO - Crit Care Clin VL - 32 IS - 1 N2 - The prevalence of hypertensive disorders in pregnancy is increasing. The etiology and pathophysiology of hypertensive disorders in pregnancy remain poorly understood. Hypertensive disorders are a major cause of maternal and perinatal morbidity and mortality. Treatment of hypertension decreases the incidence of severe hypertension, but it does not impact rates of preeclampsia or other pregnancy complications. Several antihypertensive medications are commonly used in pregnancy, although there is a lack of randomized controlled trials. Severe hypertension should be treated immediately to prevent maternal end-organ damage. Appropriate antepartum, intrapartum, and postpartum management is important in caring for patients with hypertensive disorders. SN - 1557-8232 UR - https://www.unboundmedicine.com/medline/citation/26600442/Hypertensive_Emergencies_in_Pregnancy_ DB - PRIME DP - Unbound Medicine ER -