Tags

Type your tag names separated by a space and hit enter

Hypertensive Crisis in Pregnancy.
Obstet Gynecol Clin North Am. 2022 Sep; 49(3):501-519.OG

Abstract

Severe hypertension in pregnancy is a medical emergency, defined as systolic blood pressure (BP) ≥ 160 mm Hg and/or diastolic BP ≥ 110 mm Hg taken 15 minutes to 4 or more hours apart. Outside pregnancy, acute severe hypertension (HTN) is defined as a BP greater than 180/110 to 120 reproducible on 2 occasions. The lower threshold for severe HTN in pregnancy reflects the increased risk for adverse outcomes, particularly maternal stroke and death, and may be a source of under-recognition and treatment delay, particularly in nonobstetrical health care settings. Once a severe hypertension episode is recognized, antihypertensive therapy should be initiated as soon as feasibly possible, at least within 30 to 60 minutes. Intravenous (IV) labetalol, hydralazine, and oral immediate-release nifedipine are all recommended first-line agents and should be administered according to available institutional protocols and based on provider knowledge and familiarity.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Denver, CO, USA. Electronic address: Cynthia.wautlet@cuanschutz.edu.Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Denver, CO, USA; Department of Psychiatry, University of Colorado School of Medicine, Denver, CO, USA.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

36122982

Citation

Wautlet, Cynthie K., and Maria C. Hoffman. "Hypertensive Crisis in Pregnancy." Obstetrics and Gynecology Clinics of North America, vol. 49, no. 3, 2022, pp. 501-519.
Wautlet CK, Hoffman MC. Hypertensive Crisis in Pregnancy. Obstet Gynecol Clin North Am. 2022;49(3):501-519.
Wautlet, C. K., & Hoffman, M. C. (2022). Hypertensive Crisis in Pregnancy. Obstetrics and Gynecology Clinics of North America, 49(3), 501-519. https://doi.org/10.1016/j.ogc.2022.02.016
Wautlet CK, Hoffman MC. Hypertensive Crisis in Pregnancy. Obstet Gynecol Clin North Am. 2022;49(3):501-519. PubMed PMID: 36122982.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hypertensive Crisis in Pregnancy. AU - Wautlet,Cynthie K, AU - Hoffman,Maria C, PY - 2022/9/19/entrez PY - 2022/9/20/pubmed PY - 2022/9/23/medline KW - Antihypertensive treatment KW - Hypertension KW - Hypertensive crisis KW - Preeclampsia KW - Pregnancy SP - 501 EP - 519 JF - Obstetrics and gynecology clinics of North America JO - Obstet Gynecol Clin North Am VL - 49 IS - 3 N2 - Severe hypertension in pregnancy is a medical emergency, defined as systolic blood pressure (BP) ≥ 160 mm Hg and/or diastolic BP ≥ 110 mm Hg taken 15 minutes to 4 or more hours apart. Outside pregnancy, acute severe hypertension (HTN) is defined as a BP greater than 180/110 to 120 reproducible on 2 occasions. The lower threshold for severe HTN in pregnancy reflects the increased risk for adverse outcomes, particularly maternal stroke and death, and may be a source of under-recognition and treatment delay, particularly in nonobstetrical health care settings. Once a severe hypertension episode is recognized, antihypertensive therapy should be initiated as soon as feasibly possible, at least within 30 to 60 minutes. Intravenous (IV) labetalol, hydralazine, and oral immediate-release nifedipine are all recommended first-line agents and should be administered according to available institutional protocols and based on provider knowledge and familiarity. SN - 1558-0474 UR - https://www.unboundmedicine.com/medline/citation/36122982/Hypertensive_Crisis_in_Pregnancy. DB - PRIME DP - Unbound Medicine ER -