Hypertensive Disorder Complicating Pregnancy

Overview

  • 1、onset after 20 weeks gestation
  • 2、Incidence rate：about 7-12%（china 9.4％）
  • 3、specially occur in pregnancy
  • 4、A group of symptoms
  • 5. Hypertensive states in pregnancy
  • 6. Transient hypertension
  • 7. High-risk factors

Hypertensive states in pregnancy

    Include:
  • Gestational hypertension；
  • Preeclampsia;
  • Eclampsia;
  • Chronic hypertension in pregnancy (either essential or secondary to renal disease，ndocrine disease, or other causes);
  • Pre-eclampsia superimposed upon chronic hypertension

Transient hypertension

  • 1.Transient hypertension is the development of after midpregnancy or in the first 24 hours postpartum without other signs of preeclampsia or preexisting hypertension.
  • 2.This condition is often predictive of the later development of essential hypertension.
  • 3.Transient hypertension is a retrospective diagnosis and, if uncertainty exists regarding the diagnosis, these patients should be managed as if they had preeclampsia.

High-risk factors

  • Tensity
  • Age
  • Social status
  • Climate changes abruptly
  • Fat
  • High tension of uterus：multiplets、hydramnios
  • Family history
  • Bad birth history
  • Complications：DM、chronic nephritis…

PIH Signs and Symptoms

Excess Weight Gain

Raised Blood Pressure


Edema