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Chapter-25 Hypertensive Disorders in Pregnancy

BOOK TITLE: Essentials of Obstetrics

Author
1. Chatterjee Alokendu
2. Banerjee (Basu) Gita
ISBN
9788184489095
DOI
10.5005/jp/books/11242_25
Edition
2/e
Publishing Year
2011
Pages
15
Author Affiliations
1. NRS Medical College, Kolkata, West Bengal, India, NRS Medical College, Kolkata, NRS Medical College and Hospital, Kolkata, Salt Lake City, Kolkata, India, Nilratan Sarkar Medical College Kolkata, NRS Medical College, Calcutta, NRS Medical College, Kolkata, Bengal, India; FOGSI 1999-2000, Kolkata, West Bengal, India, Kolkata, NRS Medical College and Hospital, Kolkata, West Bengal, India; South Asian Federation of Obstetrics and Gynaecology; All India Coordinating Committee of Royal College of Obstetricians and Gynaecologists (2004–2009); Royal College of Obstetricians and Gynaecologists (MRCOG); National Board of Examination, India (2004–2009); Federation of Obstetric and Gynaecological Societies of India (1999–2000), NRS Medical College and Hospital, Calcutta Salt Lake City, Kolkata, West Bengal, India
2. NRS Medical College and Hospital, Kolkata, India, NRS Medical College and Hospital, Kolkata, West Bengal, India
Chapter keywords

Abstract

Hypertensive disorders in pregnancy is regarded as one of the most serious medical disorders in pregnancy. It may complicate 5 to 15 percent of all pregnancies, and is responsible for about 15 to 20 percent of maternal mortality in both industrialized and developing countries. The basic management of hypertensive disease in pregnancy is comprehensive antenatal care. Monitoring of the mother and fetus is very important to assess the severity of the disease. Delivery is the only ultimate cure of the condition. As timing of delivery affects the outcome for both mother and baby, continuation of pregnancy, with suitable antihypertensive drugs, is of paramount importance. The developing countries lack the facility of any concept of regional hypertension centers, hence the majority of cases of hypertensive disorders in pregnancy are better delivered at a tertiary level hospital and all cases, irrespective of their severity, must be under care of a senior specialist obstetrician. In those patients with severe PE/eclampsia or who are critically ill demanding intensive care. Once stabilization of BP and/or convulsions is achieved, a decision of when and how to deliver is taken. Continued vigilance is required for 24 to 48 hours after delivery. Severity of hypertensive disorders in pregnancy can be controlled in most cases and mortality from this condition is surely avoidable.

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