Hypertensive emergencies of pregnancy.

James M Alexander, Karen L Wilson

Journal: Obstetrics and gynecology clinics of North America 2013;40(1):89-101

PMID: 23466139

Full Text on Elsevier Science View on PubMed

Abstract

Hypertension is commonly encountered in pregnancy and has both maternal and fetal effects. Acute hypertensive crisis most commonly occurs in severe preeclampsia and is associated with maternal stroke, cardiopulmonary decompensation, fetal decompensation due to decreased uterine perfusion, abruption, and stillbirth. Immediate stabilization of the mother including the use of intervenous antihypertensives is required and often delivery is indicated. With appropriate management, maternal and fetal outcomes can be excellent.

Address: Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, TX 75390-9032, USA. [email protected]

DOI: 10.1016/j.ogc.2012.11.008

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MeSH Terms: Antihypertensive Agents, Calcium Channel Blockers, Creatine, Diuretics, Emergency Medicine, Female, Fetal Monitoring, Humans, Hydralazine, Infusions, Intravenous, Labetalol, Methyldopa, Nifedipine, Nitroprusside, North America, Oliguria, Pre-Eclampsia, Pregnancy, Pregnancy Complications, Cardiovascular, Proteinuria