Treatments for Gestational Hypertension

 

Hypertension in Pregnancy Treatment English Preeclampsia PIH Pregnancy induced Hypertension English

Video taken from the channel: Gynecologist Medical Lectures


 

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The ESC suggests that gestational hypertension should resolve within 42 days postpartum, which is the puerperal period, and that preexisting hypertension persists beyond this period; 5 however, many investigators support the concept that pregnancy hypertension may be termed chronic hypertension if it persists beyond 12 weeks after delivery. 17. However, the GDG’s view is that if gestational hypertension becomes severe (160/110 mmHg or higher), even with antihypertensive treatment, then the woman should be offered immediate birth after a course of corticosteroids has been administered.

The decision on timing of birth should involve consideration of blood pressure and its treatment, potential complications associated with induction of labour, health. No treatment is necessary for gestational hypertension although blood pressure medicine may be used. Your doctor will keep an eye on your blood pressure throughout your pregnancy.

The treatment of PIH requires use of blood pressure lowering drugs and anti seizure drugs. However, the cure of gestational hypertension in pregnancy is delivery of the baby and placenta. Pregnant women with mild disease (Blood pressure ≥140/90 mmHg to. Pregnancy induced hypertension (hi-per-ten-shun) is a high blood pressure problem caused by pregnancy. It is also called “PIH.” Hypertension is another name for high blood pressure.

You may have PIH if your blood pressure was normal but began to rise after the 20th week of pregnancy. PIH means more than just having high blood pressure. Some women have high blood pressure during pregnancy.

This can put the mother and her baby at risk for problems during the pregnancy.High blood pressure can also cause problems during and after delivery. 1,2 The good news is that high blood pressure is preventable and treatable. High blood pressure, also called hypertension, is very common.In the United States, high blood pressure happens. 1.4.15 Offer women who have had gestational hypertension and who remain on antihypertensive treatment, a medical review with their GP or specialist 2 weeks after transfer to community care. [2010, amended 2019] 1.4.16 Offer all women who have had gestational hypertension a medical review with their GP or specialist 6–8 weeks after the birth.

{{configCtrl2.info.metaDescription}}. Hypertension, or high blood pressure, is dangerous because it can lead to strokes, heart attacks, heart failure, or kidney disease.The goal of hypertension treatment is to lower high blood. Key points about gestational hypertension. Gestational hypertension is a form of high blood pressure in pregnancy. It occurs in about 3 in 50 pregnancies.

This condition can affect the health of both the mother and the baby, depending on how severe the issue is. Call your healthcare provider right away if you have signs of high blood pressure.

List of related literature:

Treatment options for hypertension in pregnancy and puerperium.

“CSI Cardiology Update 2018” by Kewal C Goswami
from CSI Cardiology Update 2018
by Kewal C Goswami
Jaypee Brothers,Medical Publishers Pvt. Limited, 2019

Antihypertensive drug therapy for mild to moderate hypertension during pregnancy.

“Creasy and Resnik's Maternal-Fetal Medicine: Principles and Practice E-Book” by Robert Resnik, Charles J. Lockwood, Thomas Moore, Michael F Greene, Joshua Copel, Robert M Silver
from Creasy and Resnik’s Maternal-Fetal Medicine: Principles and Practice E-Book
by Robert Resnik, Charles J. Lockwood, et. al.
Elsevier Health Sciences, 2018

sive drug therapy for mild to moderate hypertension during pregnancy.

“High Risk Pregnancy E-Book: Management Options Expert Consult” by David K. James, Philip J. Steer, Carl P. Weiner, Bernard Gonik
from High Risk Pregnancy E-Book: Management Options Expert Consult
by David K. James, Philip J. Steer, et. al.
Elsevier Health Sciences, 2010

You may receive medications to lower your blood pressure or to reduce the risk that hypertension will slow your baby’s growth.

“Pregnancy, Childbirth, and the Newborn: The Complete Guide” by Janet Walley, Penny Simkin, Ann Keppler, Janelle Durham, April Bolding
from Pregnancy, Childbirth, and the Newborn: The Complete Guide
by Janet Walley, Penny Simkin, et. al.
Meadowbrook, 2016

Since the pathophysiology of gestational hypertension is one of significantly elevated CO with normal PVR (Bosio et al., 1999) treatment should be with beta-blockers and diuretics.

“Practical Guide to High Risk Pregnancy and Delivery E-Book” by Fernando Arias, Amarnath G Bhide, Arulkumaran S, Kaizad Damania, Shirish N Daftary
from Practical Guide to High Risk Pregnancy and Delivery E-Book
by Fernando Arias, Amarnath G Bhide, et. al.
Elsevier Health Sciences, 2012

● Treatment for systolic hypertension—pregnant women with a systolic blood pressure ≥ 160 mmHg must be provided with anti-hypertensive treatment.

“Midwifery: Preparation for Practice” by Sally Pairman, Sally K. Tracy, Carol Thorogood, Jan Pincombe
from Midwifery: Preparation for Practice
by Sally Pairman, Sally K. Tracy, et. al.
Elsevier Health Sciences, 2011

Epoprostenol treatment for idiopathic pulmonary arterial hypertension in pregnancy.

“Drugs During Pregnancy and Lactation: Treatment Options and Risk Assessment” by Christof Schaefer, Paul W.J. Peters, Richard K Miller
from Drugs During Pregnancy and Lactation: Treatment Options and Risk Assessment
by Christof Schaefer, Paul W.J. Peters, Richard K Miller
Elsevier Science, 2014

If gestational hypertension persists after 12 weeks postpartum, chronic hypertension is diagnosed.

“Foundations of Maternal-Newborn and Women's Health Nursing E-Book” by Sharon Smith Murray, Emily Slone McKinney
from Foundations of Maternal-Newborn and Women’s Health Nursing E-Book
by Sharon Smith Murray, Emily Slone McKinney
Elsevier Health Sciences, 2017

The treatment of other types of hypertension in pregnancy involves bed rest, salt restriction, and antihypertensive medications.

“Braunwald's Heart Disease E-Book: A Textbook of Cardiovascular Medicine” by Robert O. Bonow, Douglas L. Mann, Douglas P. Zipes, Peter Libby
from Braunwald’s Heart Disease E-Book: A Textbook of Cardiovascular Medicine
by Robert O. Bonow, Douglas L. Mann, et. al.
Elsevier Health Sciences, 2011

Chronic hypertension involves either (1) systolic blood pressure of 140 mm Hg or higher and/or diastolic blood pressure of 90 mm Hg or higher presenting before pregnancy or before 20 weeks’ gestation or (2) elevated blood pressure that fails to resolve after delivery.

“Chestnut's Obstetric Anesthesia E-Book” by David H. Chestnut, Cynthia A Wong, Lawrence C Tsen, Warwick D Ngan Kee, Yaakov Beilin, Jill Mhyre, Brian T. Bateman, Naveen Nathan
from Chestnut’s Obstetric Anesthesia E-Book
by David H. Chestnut, Cynthia A Wong, et. al.
Elsevier Health Sciences, 2019

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
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  • I just found out about your educational channel! Love it! This one is great, as a nurse, mother of 8, and a HTN patient! dx with HTN after child 7 (baby5), and developed preeclampsia during pregnancy 6 and am now 2 years out from delivery and shuffling to get OFF of beta blockers. Needless to say with May children, being a full time ER nurse, and full time student working towards my FNP, I NEED energy that 900mg Labetolol plus 500mg Methyldopa was not allowing!

  • The only thing I’ve managed to somehow always remember is that methyldopa is used for pregnant women since ‘doppa’ means fat woman in arabic lol
    Thank you for the great content! Lord knows you’re one of the reasons I’m surviving med school!