MSRA: Hypertensive Disorders

Question 1

What are the key differences between:
Essential hypertension
Pregnancy-Induced/Gestational Hypertension and Pre-eclampsia?

Answer 1

Essential a.k.a pre-existing, occurs before 20 weeks gestation
PIH and pre-eclampsia after 20 weeks gestation, PIH has no other features.

Question 1

What is given to reduce the risk of pre-eclampsia for women with risk factors?

Answer 1

150mg Aspirin from 12 weeks to term

Question 2

What are the high risk factors for pre-eclampsia?

Answer 2

Hypertensive disease in a previous pregnancy
Chronic kidney disease
Chronic hypertension
Type 1 or 2 diabetes
Autoimmune disease

Question 3

What are the moderate risk factors for pre-eclampsia?

Answer 3

Primiparous
Pregnancy interval >10 years
Multiple pregnancy
Age >40
BMI >35
Family history of pre-eclampsia

Question 4

What is the anti-hypertensive of choice in the postnatal period?

Answer 4

Enalapril

Question 5

What are the contraindications to the use of Labetalol?

Answer 5

Asthma
Diabetes

Question 6

What are the contraindications to the use of Methyldopa?

Answer 6

Avoid in the postnatal period due to risk of postnatal depression

Question 7

What are the features of HELLP syndrome?

Answer 7

Haemolysis
Elevated liver enzymes
Low platelets

Question 8

What is the treatment of eclamptic seizures?

Answer 8

Magnesium sulphate