Describe the hypertensive disorders of pregnancy

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Hypertensive disorders occur in approximately 5% to 10% of all pregnancies. Preeclampsia, chronic hypertension, preeclampsia superimposed on chronic hypertension, and gestational hypertension are terms used to describe the hypertensive disorders of pregnancy. The term pregnancy-induced hypertension (PIH) is no longer used (Table 61-1).

TABLE 61-1. HYPERTENSIVE DISORDERS OF PREGNANCY*

Type

Blood Pressure

Onset

Proteinuria

Preeclampsia

>140/90 mm Hg

After 20 weeks' gestation

>300 mg/24hr

Chronic

>140/90 mm Hg

Before 20 weeks' gestation

Absent

Without resolution PP

Preeclampsia +

>140/90 mm Hg

Before 20 weeks' gestation

Sudden increase

chronic HTN

Sudden increase in HTN

Gestational

>140/90 mm Hg

After midpregnancy

Absent

*National High Blood Pressure Working Group on High Blood Pressure in Pregnancy. Report of the

national high blood pressure education program working group on high blood pressure in pregnancy.

HTN, Hypertension; PP, postpartum.

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