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Chronic Hypertension in Pregnancy.

Abstract

Chronic hypertension and associated cardiovascular disease are among the leading causes of maternal and perinatal morbidity and mortality in the United States. Chronic hypertension in pregnancy is associated with a host of adverse outcomes, including preeclampsia, cesarean delivery, cerebrovascular accidents, fetal growth restriction, preterm birth, and maternal and perinatal mortality. There are several key issues related to the diagnosis and management of chronic hypertension in pregnancy where data are limited and further research is needed. These challenges and recent guidelines for the management of chronic hypertension are reviewed. Well-timed pregnancies are of utmost importance to reduce the risks of chronic hypertension and long-acting reversible contraceptive options are preferred. Specifically, blood pressure thresholds for diagnosis and treatment in order to optimize short- and long-term maternal and perinatal outcomes should be prioritized along with interventions to reduce extant racial and ethnic disparities.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Center for Women's Reproductive Health, University of Alabama at Birmingham, Birmingham, Alabama. Electronic address: abattarb@uab.edu.Department of Obstetrics and Gynecology, Center for Women's Reproductive Health, University of Alabama at Birmingham, Birmingham, Alabama.Department of Obstetrics and Gynecology, Center for Women's Reproductive Health, University of Alabama at Birmingham, Birmingham, Alabama.Vascular Biology and Hypertension Program, Division of Cardiovascular Disease, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL.Department of Obstetrics and Gynecology, Center for Women's Reproductive Health, University of Alabama at Birmingham, Birmingham, Alabama.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

31715148

Citation

Battarbee, Ashley N., et al. "Chronic Hypertension in Pregnancy." American Journal of Obstetrics and Gynecology, 2019.
Battarbee AN, Sinkey RG, Harper LM, et al. Chronic Hypertension in Pregnancy. Am J Obstet Gynecol. 2019.
Battarbee, A. N., Sinkey, R. G., Harper, L. M., Oparil, S., & Tita, A. T. N. (2019). Chronic Hypertension in Pregnancy. American Journal of Obstetrics and Gynecology, doi:10.1016/j.ajog.2019.11.1243.
Battarbee AN, et al. Chronic Hypertension in Pregnancy. Am J Obstet Gynecol. 2019 Nov 9; PubMed PMID: 31715148.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chronic Hypertension in Pregnancy. AU - Battarbee,Ashley N, AU - Sinkey,Rachel G, AU - Harper,Lorie M, AU - Oparil,Suzanne, AU - Tita,Alan T N, Y1 - 2019/11/09/ PY - 2019/07/23/received PY - 2019/10/31/revised PY - 2019/11/02/accepted PY - 2019/11/13/entrez PY - 2019/11/13/pubmed PY - 2019/11/13/medline KW - chronic hypertension KW - maternal morbidity KW - maternal mortality KW - preeclampsia JF - American journal of obstetrics and gynecology JO - Am. J. Obstet. Gynecol. N2 - Chronic hypertension and associated cardiovascular disease are among the leading causes of maternal and perinatal morbidity and mortality in the United States. Chronic hypertension in pregnancy is associated with a host of adverse outcomes, including preeclampsia, cesarean delivery, cerebrovascular accidents, fetal growth restriction, preterm birth, and maternal and perinatal mortality. There are several key issues related to the diagnosis and management of chronic hypertension in pregnancy where data are limited and further research is needed. These challenges and recent guidelines for the management of chronic hypertension are reviewed. Well-timed pregnancies are of utmost importance to reduce the risks of chronic hypertension and long-acting reversible contraceptive options are preferred. Specifically, blood pressure thresholds for diagnosis and treatment in order to optimize short- and long-term maternal and perinatal outcomes should be prioritized along with interventions to reduce extant racial and ethnic disparities. SN - 1097-6868 UR - https://www.unboundmedicine.com/medline/citation/31715148/Chronic_Hypertension_in_Pregnancy L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9378(19)32613-4 DB - PRIME DP - Unbound Medicine ER -