Recent Management of Hypertensive Diseases during Pregnancy.
- Author:
Jong Kwan JUN
1
Author Information
1. Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea. jhs0927@snu.ac.kr
- Publication Type:Review
- Keywords:
Hypertension;
Pregnancy;
Preeclampsia;
Management;
Treatment
- MeSH:
Anticonvulsants;
Antihypertensive Agents;
Cesarean Section;
Early Diagnosis;
Female;
Fetus;
Humans;
Hypertension;
Hypertension, Pregnancy-Induced;
Mass Screening;
Mortality;
Mothers;
Physical Examination;
Pre-Eclampsia;
Pregnancy*;
Ultrasonography
- From:Korean Journal of Obstetrics and Gynecology
2005;48(3):545-562
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hypertensive diseases during pregnancy have a critical impact on morbidity and mortality of mother and fetus. They consist of gestational hypertension, preeclampsia-eclampsia, preeclampsia superimposed on chronic hypertension and chronic hypertension. Maternal and fetal surveillance is very important for early detection of disease progression and maternal and fetal deterioration. History taking, physical examination and laboratory tests for mother and non-stress test, biophysical profile and ultrasonography for fetus should be done on the regular base and immediately after changes of clinical symptoms and signs. Mainstays of treatment include rest, antihypertensive drugs, anticonvulsants, and corticosteroid. The decision for delivery is made on the basis of maternal and fetal conditions. Normal vaginal delivery is usually acceptable unless cesarean section is indicated because of obstetric reasons. To date, we have no effective screening markers and preventive measures for hypertensive diseases during pregnancy. Large-scaled well-designed clinical studies will show better measures which improve maternal and fetal-neonatal outcomes.
