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Management of Hypertensive Disorder in Pregnancy

Author: Dhirendra Kumar Sah
Tutor: ZhangZuo
School: Zhengzhou University
Course: Obstetrics and Gynaecology
Keywords: Hypertensive disorders in pregnancy Preeclampsia Treatment
CLC: R714.2
Type: Master's thesis
Year: 2007
Downloads: 253
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Abstract

Objective To study the treatment of hypertensive disorders in pregnancy. The background of hypertensive disorders in pregnancy is a common obstetric complications of pregnancy. Hypertensive disorders in pregnancy category includes only slightly elevated blood pressure to severe hypertension associated with a different organ abnormalities such as pre-eclampsia, eclampsia, hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome, etc., preeclampsia The incidence of 6% to 8% of the total number of pregnancy. This article will focus on discussion of hypertensive disorders in pregnancy. Methods and materials about the literature of the early onset of severe preeclampsia treatment from medline and Cochrane databases were searched. Cross-reference to the literature of 1990-2007, to read the full text of experimental control group study and research, Retrospect and Prospect underlying assumptions are based on the treatment of hypertensive disorders in pregnancy. Results of hypertensive disorders in pregnancy is a common obstetric complications of pregnancy, most patients can remain close to or reached full-term pregnancy. Mild gestational hypertension and preeclampsia at or close to full-term female child mortality in patients with lower. In contrast, severe gestational hypertension and 34 weeks before the onset of severe preeclampsia patients with severe complications of mother and child. Pregnancies with hypertensive disorders in pregnancy need to be closely observed the mother and child, serious condition requiring hospitalization. According to the assessment of fetal gestational age, fetal and maternal complications of the situation to determine the delivery or expectant. The treatment can also look forward to some severe preeclampsia before 34 weeks. 24 weeks -34 weeks in patients with severe preeclampsia between applications steroid hormones can reduce the the neonatal incidence and mortality. Patients with severe need of magnesium sulfate in the birth process has been used to prevent the seizure to the 24 hours of delivery. There is an urgent need to use the multi-center randomized trial to determine the effectiveness and safety of anti-hypertensive drug treatment of hypertensive disorders in pregnancy and the birth process and postpartum magnesium sulfate pros and cons. Conclusion gestational hypertension disease etiology and pathogenesis is still unknown. Although this study a lot, but have yet to find a reliable way to predict the development of preeclampsia, and there is no effective treatment to prevent the onset of preeclampsia. Therefore, the preeclampsia expect treatment still is a problem of obstetric, is the leading cause of death of the mother of children. Currently, the efficacy and safety of multi-center randomized study of pregnancy-induced hypertension and preeclampsia fetal assessment techniques and the application of anti-hypertensive drugs almost has not been carried out. Exact evidence of magnesium sulfate in the treatment of hypertensive disorders in pregnancy can prevent convulsions. However, there is no sufficient arguments to support the effectiveness of magnesium sulfate for the treatment of mild hypertension. Therefore, prior to the completion of the multi-center study, the treatment of pre-eclampsia is still present recognized methods and experience of experts based.

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