Management of Hypertensive Crisis for the Obstetrician/Gynecologist

Abstract

Hypertensive disorders of pregnancy are among the leading preventable contributors of maternal and fetal adverse outcomes, including maternal and fetal death. Blood pressure increase has a strong association with unfavorable pregnancy outcomes, including stroke and pulmonary edema. A persistent blood pressure measurement greater than or equal to 160/110 mm Hg lasting for more than 15 minutes, during pregnancy or postpartum, is considered an obstetric emergency and requires rapid appropriate treatment. Following evidence-based guidelines, implementing institutional polices, and understanding the classification and pathophysiology of hypertensive disorders of pregnancy are essential and can significantly improve the rate of preventable complications.

Keywords: Eclampsia; HELLP syndrome; Hypertension; Hypertensive crisis; Hypertensive urgency/emergency; Preeclampsia; Pregnancy; Pregnancy safety bundles.