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Review
. 2018 Sep;62(9):675-681.
doi: 10.4103/ija.IJA_475_18.

Hypertensive disorders in pregnancy

Madhusudan Upadya  1 , Sumesh T Rao  1
Affiliations
Review

Hypertensive disorders in pregnancy

Madhusudan Upadya et al. Indian J Anaesth. 2018 Sep.

Abstract

Hypertensive disorders of pregnancy (HDP) remain among the most significant and intriguing unsolved problems in obstetrics. In India, the prevalence of HDP was 7.8% with pre-eclampsia in 5.4% of the study population. The anaesthetic problems in HDP may be due to the effects on the cardiovascular, respiratory, neurologic, renal, haematologic, hepatic and uteroplacental systems. The basic management objectives should be facilitating the birth of an infant who subsequently thrives and completes restoration of health to the mother, or the termination of pregnancy with the least possible trauma to mother and foetus in severe pre-eclampsia. This comprises obstetric management, adequate foetal surveillance, antihypertensive management, anticonvulsant therapy, safe analgesia for labour and management of anaesthesia for delivery.

Keywords: HELLP syndrome; Hypertensive disorders of pregnancy; eclampsia; magnesium sulphate; pre-eclampsia.

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Conflict of interest statement

There are no conflicts of interest.

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