Korean J Obstet Gynecol.  2005 Mar;48(3):545-562.

Recent Management of Hypertensive Diseases during Pregnancy

• Jun JK

Abstract

Hypertensive diseases during pregnancy have a critical impact on morbidity and mortality of mother and fetus. They consist of gestational hypertension, preeclampsia-eclampsia, preeclampsia superimposed on chronic hypertension and chronic hypertension. Maternal and fetal surveillance is very important for early detection of disease progression and maternal and fetal deterioration. History taking, physical examination and laboratory tests for mother and non-stress test, biophysical profile and ultrasonography for fetus should be done on the regular base and immediately after changes of clinical symptoms and signs. Mainstays of treatment include rest, antihypertensive drugs, anticonvulsants, and corticosteroid. The decision for delivery is made on the basis of maternal and fetal conditions. Normal vaginal delivery is usually acceptable unless cesarean section is indicated because of obstetric reasons. To date, we have no effective screening markers and preventive measures for hypertensive diseases during pregnancy. Large-scaled well-designed clinical studies will show better measures which improve maternal and fetal-neonatal outcomes.

Keyword

Hypertension; Pregnancy; Preeclampsia; Management; Treatment

MeSH Terms

Anticonvulsants
Antihypertensive Agents
Cesarean Section
Early Diagnosis
Female
Fetus
Humans
Hypertension
Hypertension, Pregnancy-Induced
Mass Screening
Mortality
Mothers
Physical Examination
Pre-Eclampsia
Pregnancy*
Ultrasonography
Anticonvulsants
Antihypertensive Agents