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Ambulatory Management of Chronic Hypertension in Pregnancy

AMES, MARY MD*; RUEDA, JOSE MD; CAUGHEY, AARON B. MD, PhD

Clinical Obstetrics & Gynecology: September 2012 - Volume 55 - Issue 3 - p 744–755
doi: 10.1097/GRF.0b013e31825c8bcd
Ambulatory Obstetric Care

Chronic hypertension in pregnancy is one of the most common medical diseases affecting pregnancy. It is associated with serious maternal and fetal complications, including superimposed pre-eclampsia, fetal growth restriction, premature delivery, placental abruption, and stillbirth. Baseline evaluation as early as possible is important to differentiate women with essential hypertension from those with severe hypertension, coexisting end-organ damage, and secondary causes of hypertension, as their risks of poor outcomes are increased. An optimal plan for maternal treatment and fetal surveillance can then be formulated. Coordination of care after delivery is important for long-term maternal health and future pregnancies.

*Department of Obstetrics & Gynecology, Division of Maternal Fetal Medicine

Department of Medicine, Division of Nephrology and Hypertension

Department of Obstetrics & Gynecology, Julie Neupert Stott Director, Center for Women’s Health, Oregon Health & Science University, Portland, Oregon

The authors declare that they have nothing to disclose.

Correspondence: Mary Ames, MD, Department of Obstetrics & Gynecology, Division of Maternal Fetal Medicine, Oregon Health & Science University, L466, Portland, OR. E-mail: ames@ohsu.edu

© 2012 Lippincott Williams & Wilkins, Inc.