• 27 FEB 13
    Hypertensive disorders of Pregnancy

    Hypertensive disorders of Pregnancy

    Hypertension in pregnancy is defined as:
    1. Systolic blood pressure greater than or equal to 140 mmHg and/or
    2. Diastolic blood pressure greater than or equal to 90 mmHg (Korotkoff 5)

    The classification is as follows:

    • Preeclampsia – eclampsia
    • Gestational hypertension
    • Chronic hypertension
    • – essential
    • – secondary
    • – white coat
    • Preeclampsia superimposed on chronic hypertension

    The following investigations should be performed in all patients:
    • Urine dipstick testing for proteinuria, with quantitation by laboratory methods if >’1+’ (30mg/dL)
    • Full blood count
    • Urea, creatinine, electrolytes
    • Liver function tests
    • Ultrasound assessment of fetal growth, amniotic fluid volume and umbilical artery flow

     

    From SOMANZ guidlines 2008

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