Hypertension during pregnancy can lead to serious maternal and fetal complications if not properly managed. Here, we discuss different types of hypertension in pregnancy, along with their clinical features, management, and associated risks.
| Feature | Details |
|---|---|
| Onset | After the 20th week of gestation |
| Blood Pressure | > 140/90 mm Hg |
| Proteinuria | Absent |
| End-Organ Damage | Absent |
| Medications | Hydralazine, α-Methyldopa, Labetalol, Nifedipine |
| Delivery Timing | 37–39 weeks |
| Feature | Details |
|---|---|
| Onset | After 20 weeks (< 20 weeks suggests molar pregnancy) |
| Proteinuria | Present |
| End-Organ Dysfunction | Possible (e.g., pulmonary edema) |
| Medications | Antihypertensives, IV magnesium sulfate |
| Definitive Treatment | Delivery |
| Feature | Details |
|---|---|
| Criteria | Preeclampsia + seizures |
| Complications | Stroke, intracranial hemorrhage, ARDS |
| Treatment | IV magnesium sulfate, antihypertensives, delivery |
| Feature | Details |
|---|---|
| Hemolysis | Present (schistocytes on blood smear) |
| Elevated Liver Enzymes | Present |
| Low Platelets | Present |
| Complications | DIC, hepatic hematoma rupture, hypotension |
| Treatment | Immediate delivery |
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