EXPORT CITATION

Chapter-15 Hypertensive Disorders in Diabetic Pregnancy

BOOK TITLE: Clinical Guidelines for Management of Diabetes in Pregnancy

Author
1. Khullar Harsha
ISBN
9789352703951
DOI
10.5005/jp/books/18049_16
Edition
1/e
Publishing Year
2018
Pages
7
Author Affiliations
1. Sir Ganga Ram Hospital, Delhi, harsha_khullar@yahoo.com, Institute of Obstetrics and Gynecology, Sir Ganga Ram Hospital, New Delhi, India, Sir Ganga Ram Hospital, New Delhi, India
Chapter keywords
Hypertensive disorder, diabetic pregnancy, type 1 diabetes, type 2 diabetes, microvascular disease, hypertension, pregestational diabetes, antihypertensive therapy

Abstract

This chapter describes hypertensive disorders in diabetic pregnancy. The common conditions coexisting with type 2 diabetes are clear risk factors for atherosclerotic cardiovascular disease. Atherosclerosis and microvascular disease involving retinopathy, nephropathy, and neuropathy are the consequences of diabetes leading to increased morbidity. Prevalence of hypertension has been found to be 40.8% in type 2 diabetic pregnant women as compared to 10% in nondiabetic controls in a study by Colatrella A. Both spontaneous and indicated preterm deliveries are increased among women with pregestational diabetes mellitus with chronic hypertension. This chapter covers the types of hypertensive disorders, pregestational diabetes and frequency of testing during pregnancy, timing of delivery, and antihypertensive therapy. Hypertension is a common complication in diabetic pregnancies which adversely affects the maternal and perinatal outcome. It requires close monitoring and supervised management to prevent complications and achieve optimal pregnancy outcome.

Related Books

© 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved

Powered by MPS ScholarStor