Hypertensi on Disorders Gestational HTN in Transient HTN of pregnancy Pregnancy Preeclampsia Mild Severe Classification of the American College of Eclampsia Obstetricians and Gynecologists Chronic HTN preceding pregnancy Chronic HTN with superimposed pregnancy- induced hypertension Superimposed preeclampsia Superimposed eclampsia Gestational Hypertension S Gestational HTN sustained systolic blood pressure at or above 140mmHg, or a diastolic blood pressure of 90mmHg or greater increase in BP must ...
PRE-TEST OBJECTIVES Review definitions/diagnostic criteria of hypertensive disorders in pregnancy Review recommendations for preeclampsia prevention strategies Review antenatal surveillance Review treatment (antepartum/intrapartum/postpartum) CASE 1 DEFINITIONS Chronic Hypertension Gestational Hypertension Preeclampsia Chronic hypertension with superimposed preeclampsia Eclampsia HELLP Syndrome DEFINITIONS Chronic Hypertension -2 or more BP >140 SBP or 90 DBP taken at least 4 hours apart diagnosed prior to pregnancy, before 20 weeks ...
Definition of Eclampsia New onset of grand mal seizure activity and/or unexplained coma during pregnancy or postpartum in a woman with signs or symptoms of preeclampsia It typically occurs at ≥ 20th week of gestation. It is considered a complication of severe NPC Training in MNH preeclampsia. 2 Prevalence • 10% of all pregnancies are complicated by hypertension. • Eclampsia and preeclampsia account for about ...
Hypertensive Disorder of Pregnancy I. Gestational hypertension Is defined as a persistent systolic blood pressure level of 140 mm Hg or greater or a diastolic blood pressure level of 90 mm Hg or greater that occurs on two occasions 4 hours apart after 20 weeks of gestation in a woman with previously . normal blood pressure II. Chronic hypertension Patients with a persistent elevation of blood ...
:-Objective :-Objective A unique disease (syndrome) of pregnant A unique disease (syndrome) of pregnant woman in the second half of pregnancy. woman in the second half of pregnancy. Carries significant maternal & fetal morbidity Carries significant maternal & fetal morbidity and mortality. and mortality. Two criteria for diagnosing preeclampsia Two criteria for diagnosing preeclampsia hypertension & proteinuria, in eclampsia hypertension & ...
Preeclampsia: a two stage disorder Preeclampsia: a two stage disorder Stage 1: Reduced Placental Stage 2: Maternal Syndrome perfusion abnormal implantation ??? Stage I Stage I Reduced placental perfusion Placental Hypoperfusion in Preeclampsia “... a diffuse hypoxia or relative maternal ischemia of the placenta is the proximate or precipitating cause of preeclampsia and the associated placental insufficiencies. “ Page 1948 Placental Hypoperfusion in Preeclampsia evidence Abnormal ...
Objectives . Definition of preeclampsia . Etiology . Effect of hypertensive disorder in pregnancy . The theory of development of preeclampsia . Pathological changes associated with preeclampsia . Definition of Eclampsia . Management of preeclampsia and Eclampsia Role of antihypertensive . the hypertensive disorder are major contributor to maternal and perinatal morbidity and mortality. CLASSIFICATION AND DIFINTION. Blood pressure reading depends on maternal position and gestational age, it is lower in left lateral ...
Content Content Background Literature review Aim and objectives Methods Results Discussion Conclusion Background Background The etiology of pre-eclampsia remains unclear and is most likely multi-factorial. Immune mal-adaptation has been postulated as a possible cause ? Association between HIV and PET Rationale Rationale Understanding the etiology of preeclampsia will guide research on prediction, prevention and management of pre-eclampsia. HIV and PET: previous HIV and PET: previous studies ...
Disclosure I have no relevant financial relationships with the manufacturer of any commercial products and/or providers of commercial services discussed in this presentation. I do not intend to discuss any unapproved or investigative use of commercial products or devices. Hypertension in Pregnancy Why worry? Common: ~ 10% of pregnancies Morbidity: fetus: 12% of preterm deliveries mother: stroke, CHF, renal injury Mortality: 12-13% of maternal mortality ...
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