Hypertension in Pregnancy Flashcards
what is non severe hypertension in preg?
sys: <140, dys: <90
- two separate measurements at least 15 mins apart
how is non severe hypertension treated?
anti hypertensive meds to target diastolic 85
- blood work and assessment for any changes in BP
what is severe hypertension?
Systolic above 160, diastolic above 110, 15 mins apart
is severe hypertension an obstetrical emergency?
yes, requires immediate tx
what are the 3 most common hypertensive disorders?
chronic, gestational, pre/eclampsia
what are the 3 categories of hypertension?
Transient hypertension
White coat hypertension
Masked hypertension
when is chronic hypertension present?
- present before preg or prior 20 weeks gestation
people with chronic hypertension may be at increased risk of developing:
superimposed preeclampsia
- poor fetal growth an fetal still birth
what is chronic and superimposed preeclampsia?
- hypertension prior 20 wks, with new onset of proteinuria
- hypertension and proteinuria before 20 weeks
- elevated liver enzymes
- thrombocytopenia
when does gestational hypertension develop?
develops AFTER 20 weeks gestation with the absence of proteinuria
what does gestational hypertension leave u at an increased risk for?
pre eclampsia
what does gestational hypertension not have a risk for?
fetal growth restriction
what percentage of people will develop pre eclampsia from gestational hypertension?
25%
what is transient hypertension?
elevated BP due to environmental stimuli
what is white coat hypertension?
BP elevated at dr office (140/90), but normal outside dr office
