Hypertensive Disorders

Question 1

WHO estimates that —— of pregnant women will have some hypertensive disorder

Answer 1

15%

Question 2

Hypertensive disorder accounts for —- of maternal mortalities worldwide

Answer 2

12%

Question 3

Hypertensive disorders according to Davey and MacGillivray (ISSHP) 1988

Answer 3

-Gestational hypertension+/- proteinuria:
Gestational hypertension
Gestational proteinuria
Gestational proteinuric hypertension
- Chronic hypertension/ chronic renal disease
Chronic hypertension
Chronic renal disease
Chronic hypertension with superimposed preeclampsia
- Unclassified
Gestational hypertension
Gestational proteinuria
Gestational proteinuric hypertension

Question 4

Hypertensive disorders according to National high blood pressure education program working group 1990

Answer 4

Chronic hypertension
Preeclampsia/ eclampsia
Chronic hypertension with superimposed preeclampsia
Gestational hypertension

Question 5

Preeclampsia is responsible for —— maternal death and complicates ——

Answer 5

50,000-60,000
Complicates 3-6%

Question 6

Pathophysiology of preeclampsia

Answer 6

Genetic predisposition = Faulty interplay between trophoblast and decidua= Decreased blood supply to fetoplacental unit = Release of circulating factors = Endothelial cell alteration = Hypertension Proteinuria IUGR

Question 7

Eclampsia affects —— pregnancies

Answer 7

5/10,000