The hypertensive disorders of pregnancy (29.3)

Laura A Magee; Anouk Pels; Michael Helewa; Evelyne Rey; Peter von Dadelszen; Canadian Hypertensive Disorders of Pregnancy (HDP) Working Group; Canadian Hypertensive Disorders of Pregnancy HDP Working Group

doi:10.1016/j.bpobgyn.2015.04.001

The hypertensive disorders of pregnancy (29.3)

Best Pract Res Clin Obstet Gynaecol. 2015 Jul;29(5):643-57. doi: 10.1016/j.bpobgyn.2015.04.001. Epub 2015 Apr 25.

Authors

Laura A Magee¹, Anouk Pels², Michael Helewa³, Evelyne Rey⁴, Peter von Dadelszen⁵; Canadian Hypertensive Disorders of Pregnancy (HDP) Working Group; Canadian Hypertensive Disorders of Pregnancy HDP Working Group

Collaborators

Francois Audibert⁶, Emmanuel Bujold⁷, Anne-Marie Côté⁸, M Joanne Douglas⁹, Genevieve Eastabrook¹⁰, Tabassum Firoz¹¹, Paul Gibson¹², Andrée Gruslin¹³, Jennifer Hutcheon¹⁴, Gideon Koren¹⁵, Ian Lange¹², Line Leduc⁶, Alexander G Logan¹⁶, Karen L MacDonell¹⁷, Jean-Marie Moutquin¹⁸, Ilana Sebbag⁹

Affiliations

¹ Medicine, University of British Columbia, Vancouver, BC, Canada; Obstetrics and Gynaecology, University of British Columbia, Vancouver, BC, Canada; School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada. Electronic address: LMagee@cw.bc.ca.
² Obstetrics and Gynaecology, University of Amsterdam, Amsterdam, The Netherlands.
³ Obstetrics and Gynaecology, University of Manitoba, Winnipeg, MB, Canada.
⁴ Medicine, University of Montreal, Montreal, QC, Canada; Obstetrics and Gynaecology, University of Montreal, Montreal, QC, Canada.
⁵ Obstetrics and Gynaecology, University of British Columbia, Vancouver, BC, Canada; School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
⁶ Obstetrics and Gynaecology, University of Montreal, Montreal, QC, Canada.
⁷ Obstetrics and Gynaecology, Laval University, Québec City, QC, Canada.
⁸ Medicine, Universite de Sherbrooke, Sherbrooke, QC, Canada.
⁹ Anesthesiology, University of British Columbia, Vancouver, BC, Canada.
¹⁰ Obsetrics and Gynaecology, University of Western Ontario, London, ON, Canada.
¹¹ Medicine, University of British Columbia, Vancouver, BC, Canada; School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
¹² University of Calgary, Calgary, AB, Canada.
¹³ Obstetrics and Gynaecology, University of Ottawa, Ottawa, ON, Canada.
¹⁴ Obstetrics and Gynaecology, University of British Columbia, Vancouver, BC, Canada.
¹⁵ Pediatrics, University of Toronto, Toronto, ON, Canada.
¹⁶ Medicine, University of Toronto, Toronto, ON, Canada.
¹⁷ College of Physicians and Surgeons of British Columbia, Vancouver, BC, Canada.
¹⁸ Obstetrics and Gynaecology, Universite de Sherbrooke, Sherbrooke, QC, Canada.

PMID: 26141795
DOI: 10.1016/j.bpobgyn.2015.04.001

Abstract

Hypertensive disorders are the most common medical complication of pregnancy. As such, a large part of antenatal care is dedicated to the detection of pre-eclampsia, the most dangerous of the hypertensive disorders. The highlights of this chapter include progress in the use of out-of-office blood pressure measurement as an adjunct to office blood pressure measurement, pre-eclampsia defined as proteinuria or relevant end-organ dysfunction, antihypertensive therapy for severe and non-severe hypertension and post-partum follow-up to mitigate the increased cardiovascular risk associated with any of the hypertensive disorders of pregnancy.

Keywords: hypertension; long-term prognosis; maternal outcome; perinatal outcome; pre-eclampsia; pregnancy.

Publication types

Research Support, Non-U.S. Gov't
Review

MeSH terms

Antihypertensive Agents / therapeutic use
Blood Pressure
Chronic Disease
Delivery, Obstetric
Female
Humans
Hypertension / physiopathology
Hypertension, Pregnancy-Induced / classification
Hypertension, Pregnancy-Induced / diagnosis*
Hypertension, Pregnancy-Induced / prevention & control
Hypertension, Pregnancy-Induced / therapy*
Postnatal Care
Pre-Eclampsia / diagnosis
Pre-Eclampsia / prevention & control
Pre-Eclampsia / therapy
Preconception Care
Pregnancy
Proteinuria / etiology

Substances

Antihypertensive Agents