Hypertensive pregnancy disorders: current concepts
- PMID: 17617769
- PMCID: PMC8109890
- DOI: 10.1111/j.1524-6175.2007.06695.x
Hypertensive pregnancy disorders: current concepts
Abstract
Hypertensive pregnancy disorders complicate 10% of all pregnancies and cover a spectrum of conditions, namely preeclampsia, eclampsia, and chronic and gestational hypertension. Preeclampsia is a pregnancy-specific disorder clinically characterized by hypertension and proteinuria that occurs after 20 weeks of gestation. It remains a leading cause of both fetal and maternal morbidity and mortality worldwide. Traditionally, hypertensive pregnancy disorders were considered not to have any long-term impact on mothers' cardiovascular health; however, recent studies consistently have supported the role of hypertension in pregnancy as a risk factor for cardiovascular disease later in life. Therefore, improved screening, and preventive and treatment strategies may not only optimize management of hypertensive pregnancy disorders, but may have a long-term impact on women's cardiovascular events and outcomes years after the affected pregnancies. This article will provide a brief review of hypertensive pregnancy disorders and important recent discoveries regarding their pathogeneses, while focusing on current diagnostic and treatment strategies.
Similar articles
-
The management of hypertension in pregnancy.Adv Chronic Kidney Dis. 2013 May;20(3):229-39. doi: 10.1053/j.ackd.2013.01.014. Adv Chronic Kidney Dis. 2013. PMID: 23928387 Free PMC article. Review.
-
Hypertensive Disorders in Pregnancy.Obstet Gynecol Clin North Am. 2018 Jun;45(2):333-347. doi: 10.1016/j.ogc.2018.01.012. Obstet Gynecol Clin North Am. 2018. PMID: 29747734 Review.
-
Hypertensive Disorders of Pregnancy.Emerg Med Clin North Am. 2023 May;41(2):269-280. doi: 10.1016/j.emc.2023.01.002. Epub 2023 Feb 19. Emerg Med Clin North Am. 2023. PMID: 37024163 Review.
-
Update on Preeclampsia and Hypertensive Disorders of Pregnancy.Endocrinol Metab Clin North Am. 2024 Sep;53(3):377-389. doi: 10.1016/j.ecl.2024.05.012. Endocrinol Metab Clin North Am. 2024. PMID: 39084814 Review.
-
Guidelines for the management of hypertensive disorders of pregnancy 2008.Aust N Z J Obstet Gynaecol. 2009 Jun;49(3):242-6. doi: 10.1111/j.1479-828X.2009.01003.x. Aust N Z J Obstet Gynaecol. 2009. PMID: 19566552
Cited by
-
Myocardial performance index in hypertensive disorders of pregnancy: The relationship between blood pressures and angiogenic factors.Hypertens Pregnancy. 2017 May;36(2):161-167. doi: 10.1080/10641955.2017.1280048. Epub 2017 Mar 1. Hypertens Pregnancy. 2017. PMID: 28609171 Free PMC article.
-
Marijuana use and pregnancy outcomes among women with hypertension in pregnancy.J Matern Fetal Neonatal Med. 2022 Jun;35(12):2286-2293. doi: 10.1080/14767058.2020.1785422. Epub 2020 Jul 6. J Matern Fetal Neonatal Med. 2022. PMID: 32627608 Free PMC article.
-
Soluble urinary somatic angiotensin converting enzyme is overexpressed in patients with preeclampsia: a potential new marker for the disease?Hypertens Pregnancy. 2022 Aug-Nov;41(3-4):190-197. doi: 10.1080/10641955.2022.2115060. Epub 2022 Aug 23. Hypertens Pregnancy. 2022. PMID: 35997304 Free PMC article.
-
Mobile Health Solutions for Hypertensive Disorders in Pregnancy: Scoping Literature Review.JMIR Mhealth Uhealth. 2018 May 30;6(5):e130. doi: 10.2196/mhealth.9671. JMIR Mhealth Uhealth. 2018. PMID: 29848473 Free PMC article.
-
Influence of maternal obesity on the association between common pregnancy complications and risk of childhood obesity: an individual participant data meta-analysis.Lancet Child Adolesc Health. 2018 Nov;2(11):812-821. doi: 10.1016/S2352-4642(18)30273-6. Epub 2018 Sep 7. Lancet Child Adolesc Health. 2018. PMID: 30201470 Free PMC article.
References
-
- Report of the National High Blood Pressure Education Program Working Group on High Blood Pressure in Pregnancy. Am J Obstet Gynecol. 2000;183(1):S1–S22. - PubMed
-
- Widmer M, Villar J, Benigni A, et al. Mapping the theories of preeclampsia and the role of angiogenic factors: a systematic review. Obstet Gynecol. 2007;109(1):168–180. - PubMed
-
- Garovic VD, Wagner SJ, Petrovic LM, et al. Glomerular expression of nephrin and synaptopodin, but not podocin, is decreased in kidney sections from women with preeclampsia. Nephro Dial Transplant. 2007;22(4):1136–1143. - PubMed
-
- Sibai BM, Lindheimer M, Hauth J, et al. Risk factors for preeclampsia, abruptio placentae, and adverse neonatal outcomes among women with chronic hypertension. National Institute of Child Health and Human Development Network of Maternal‐Fetal Medicine Units . N Engl J Med. 1998;339(10):667–671. - PubMed
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical