Published in

Integrated Approach to Obstetrics and Gynaecology, p. 317-327

DOI: 10.1142/9789813108561_0023

Oxford Medicine Online

DOI: 10.1093/med/9780198754787.003.0013

Heart Disease in Pregnancy, p. 264-280

DOI: 10.1002/9780470994955.ch18

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The hypertensive disorders of pregnancy (29.3)

Journal article published in 2015 by Laura A. Magee, Peter von Dadelszen, Isabel Stabile, Angela Walker, Sarah Stables, Anouk Pels, Evelyne Rey, Jean-Marie Moutquin, Ilana Sebbag, Janet Medforth, Karen L. MacDonell, Michael Helewa, Jennifer Hutcheon, Gideon Koren ORCID, Margaret A. Miller and other authors.
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Hypertensive disorders of pregnancy are common and represent a spectrum of disease ranging from chronic and gestational hypertension to eclampsia. They are associated with increased risk of both adverse maternal and fetal outcomes. Drug treatment is generally reserved for moderate or severe hypertension. Pre-eclampsia-eclampsia can be life-threatening and requires urgent investigation and intervention. There are limited data about the safety of many hypertensive drugs in pregnancy. ACE inhibitors and angiotensin receptor blockers should be avoided. Women who have had any hypertensive disorder in pregnancy have an increased cardiovascular risk. They require long-term follow-up.