Hypertension in pregnancy:
1% of all pregnancies
16% of maternal deaths
Gestational hypertension (GH)
Hypertension associated with pregnancy
Resolves with delivery
6–7% of all pregnancies
Normotensive prior to 20 wk gestation
SBP >140 or DBP >90 on 2 separate measurements
Severe: SBP >160 and DBP >110
GH and proteinuria
300 mg protein on 24 hr urine
Place patient in left lateral decubitus position
Left lateral decubitus position (reduces pressure on inferior vena cava, enh...
ICU, labor and delivery, OR
Isolated hypertension with workup negative for preeclampsia
Delivery is the definitive treatment for preeclampsia and eclampsia
BP of 130/80 mm Hg in a pregnant woman requires investigation
Postpartum presentation: Consider preeclampsia/eclam...
Deak TM, Moskovitz JB. Hypertension and pregnancy. Emerg Med Clin N Am. 2012;30:903–917.
Leeman L, Fontaine P. Hypertensive disorders of pregnancy. Am Fam Physician. ...
642.40 Mild or unspecified pre-eclampsia, unspecified as to episode of care
642.60 Eclampsia complicating pregnancy, childbirth or the puerperium, unspecified as to episode of care
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