Hypertensive Disorders in Pregnancy Flashcards
What is preeclampsia?
Preeclampsia is new-onset hypertension (≥140 mm Hg systolic or ≥90 mm Hg diastolic) after 20 weeks of gestation, accompanied by proteinuria or other maternal organ dysfunction.
What is eclampsia?
Eclampsia is the onset of seizures, unexplained coma, or both in women with preeclampsia before, during, or after labor.
What is gestational hypertension?
Gestational hypertension is new-onset hypertension (≥140/90 mm Hg) after the 20th week of gestation, which returns to normal by 12 weeks postpartum without proteinuria.
What is chronic hypertension in pregnancy?
Chronic hypertension is blood pressure ≥140/90 mm Hg present before pregnancy or before the 20th week of gestation, persisting beyond 12 weeks postpartum.
What are the risk factors for preeclampsia?
Risk factors include advanced maternal age, nulliparity, multifetal pregnancy, prior preeclampsia, and high pre-pregnancy BMI.
What is the primary treatment for preeclampsia?
The primary treatment for preeclampsia is delivery, balancing the risk-benefit ratio of preterm delivery and maternal-fetal complications.
What is HELLP syndrome?
HELLP syndrome is a life-threatening pregnancy complication characterized by hemolysis, elevated liver enzymes, and low platelets, often considered a variant of preeclampsia.
What is the recommended prevention for preeclampsia in high-risk women?
Low-dose aspirin (81 mg/day) is recommended for prevention of preeclampsia in high-risk women after 12 weeks of gestation.
What are the maternal complications of preeclampsia?
Maternal complications include stroke, liver dysfunction, hematoma, hepatic rupture, and increased risk of mortality.
What are the fetal complications of preeclampsia?
Fetal complications include preterm birth, intrauterine growth restriction, stillbirth, and neonatal death.
