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Multisystem Effects of Hypertensive Disorders of Pregnancy: A Comprehensive Review

Witcher, Patricia M. MSN, RNC-OB; Chez, Bonnie Flood MSN, RNC; Baird, Suzanne McMurtry DNP, RN

The Journal of Perinatal & Neonatal Nursing: July/September 2015 - Volume 29 - Issue 3 - p 229–239
doi: 10.1097/JPN.0000000000000114
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Hypertension predisposes the woman and fetus to adverse outcomes during the pregnancy and postpartum. The risk for maternal complications and neonatal morbidity associated with the necessity of preterm birth extends beyond the postpartum and postnatal period. A comprehensive review of the multisystem effects of hypertensive disorders and underlying pathophysiology is provided to support the role of prompt identification of and management of acute complications of hypertension.

Labor and Delivery and High Risk Perinatal Nursing, Women's Services, Northside Hospital, Atlanta, Georgia (Ms Witcher); Nursing Education Resources, Tampa, Florida (Ms Chez); and Clinical Concepts in Obstetrics, Inc, Brentwood, Texas, and Adjunct Faculty, Vanderbilt University School of Nursing, Nashville, Tennessee (Dr Baird).

Corresponding Author: Patricia M. Witcher, MSN, RNC-OB, Labor and Delivery, Northside Hospital, 1000 Johnson Ferry Rd, Atlanta, GA 30342 (trish.witcher@northside.com).

Disclosure: The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Submitted for publication: April 2, 2015; accepted for publication: April 30, 2015.

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