scholarly journals HYPERTENSIVE DISORDERS IN ECUADORIAN PREGNANT WOMEN 2010-2014

2018 ◽  
Vol 6 (8) ◽  
pp. 238-247
Author(s):  
Jorge Daher Nader ◽  
Alida Bella Vallejo López

Hypertensive disorders are serious illnesses that manifest in different forms and can be fatal. This study aims to demonstrate the impact of hypertensive disorders in pregnancy and the difficulty in public health by limiting timely identification and diagnosis of these diseases. The completion of this study will help to obtain the information necessary to understand the manifestations of hypertensive disorders in the Maternity Enrique C. Sotomayor on a study period of 5 years. The study will be beneficial for the pregnant patient and the institution as valuable information is obtained to analyze the behavior of these disorders and to perform protocol of information for professionals in the institution. Among the results obtained during five years in the institution were 13.066 patients diagnosed with hypertensive disorders, severe preeclampsia being the most common hypertensive stage with 77.3%. There is a significant increase of the disease with the passing of the years, and in 2013 was the second cause of c-sections for the first time in patients with seven antenatal control program. Death by hypertension in pregnancy was presented in three occasions. With regard to the damages in the fetus birth weight is frequently altered, reporting in 2014-571 newborns diagnosed with growth retardation and fetal malnutrition.

ESC CardioMed ◽  
2018 ◽  
pp. 2872-2874
Author(s):  
Renata Cifkova

Hypertensive disorders in pregnancy are the most common medical complications affecting 5–10% of pregnancies worldwide. This chapter discusses the following topics: diagnosis of hypertension, definition and classification of hypertension in pregnancy, additional laboratory tests, management of hypertension in pregnancy, pharmacological management of hypertension in pregnancy, delivery induction, blood pressure postpartum and lactation, and prognosis after pregnancy.


2012 ◽  
Vol 2012 ◽  
pp. 1-19 ◽  
Author(s):  
Reem Mustafa ◽  
Sana Ahmed ◽  
Anu Gupta ◽  
Rocco C. Venuto

Hypertension is the most common medical disorder encountered during pregnancy. Hypertensive disorders are one of the major causes of pregnancy-related maternal deaths in the United States. We will present a comprehensive update of the literature pertinent to hypertension in pregnancy. The paper begins by defining and classifying hypertensive disorders in pregnancy. The normal vascular and renal physiological changes which occur during pregnancy are detailed. We will summarize the intriguing aspects of pathophysiology of preeclampsia, emphasizing on recent advances in this field. The existing diagnostic tools and the tests which have been proposed for screening preeclampsia are comprehensively described. We also highlight the short- and long-term implications of preeclampsia. Finally, we review the current management guidelines, goals of treatment and describe the potential risks and benefits associated with various antihypertensive drug classes. Preeclampsia still remains an enigma, and the present management focuses on monitoring and treatment of its manifestations. We are hopeful that this in depth critique will stimulate the blossoming research in the field and assist practitioners to identify women at risk and more effectively treat affected individuals.


2012 ◽  
Vol 2 (3) ◽  
pp. 289-290
Author(s):  
M.R.F. Silveira ◽  
G.J. Martins ◽  
N.S.G. Matsuda ◽  
E. Chalem ◽  
G. Nagahma ◽  
...  

ESC CardioMed ◽  
2018 ◽  
pp. 2872-2874
Author(s):  
Renata Cifkova

Hypertensive disorders in pregnancy are the most common medical complications affecting about 10% of pregnancies worldwide. This chapter discusses the following topics: diagnosis of hypertension, definition and classification of hypertension in pregnancy, additional laboratory tests, management of hypertension in pregnancy, pharmacological management of hypertension in pregnancy, delivery induction, blood pressure postpartum and lactation, and prognosis after pregnancy.


2020 ◽  
pp. 1-22
Author(s):  
Charlotte Frise ◽  
Sally Collins

This chapter covers physiology and blood pressure in the pregnant patient, followed by hypertensive disorders in pregnancy. This includes pre-existing hypertension, and hypertension induced by pregnancy. It also describes the background, investigations, management, and counselling of pre-eclampsia, HELLP syndrome, and eclampsia. Postnatal management is also covered, and the uses of antihypertensives in the pregnant patient are indicated, along with contraindications and possible side effects.


2020 ◽  
Vol 03 (03) ◽  
Author(s):  
Nkem Ernest Njukang ◽  
Tah Aldof Yoah ◽  
Martin Sama ◽  
Thomas Obinchemti EGBE ◽  
Joseph Kamgno

2019 ◽  
Vol 17 (5) ◽  
pp. 455-464 ◽  
Author(s):  
Alfonso Mate ◽  
Antonio J. Blanca ◽  
Rocío Salsoso ◽  
Fernando Toledo ◽  
Pablo Stiefel ◽  
...  

Pregnancy hypertensive disorders such as Preeclampsia (PE) are strongly correlated with insulin resistance, a condition in which the metabolic handling of D-glucose is deficient. In addition, the impact of preeclampsia is enhanced by other insulin-resistant disorders, including polycystic ovary syndrome and obesity. For this reason, there is a clear association between maternal insulin resistance, polycystic ovary syndrome, obesity and the development of PE. However, whether PE is a consequence or the cause of these disorders is still unclear. Insulin therapy is usually recommended to pregnant women with diabetes mellitus when dietary and lifestyle measures have failed. The advantage of insulin therapy for Gestational Diabetes Mellitus (GDM) patients with hypertension is still controversial; surprisingly, there are no studies in which insulin therapy has been used in patients with hypertension in pregnancy without or with an established GDM. This review is focused on the use of insulin therapy in hypertensive disorders in the pregnancy and its effect on offspring and mother later in life. PubMed and relevant medical databases have been screened for literature covering research in the field especially in the last 5-10 years.


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