Hypertensive disorders of pregnancy

Abstract

Overall, the goal of the emergency physician is proper recognition of the gravid woman whose pregnancy is complicated by hypertensive disease, particularly preeclampsia-eclampsia. As the classic triad of hypertension, proteinuria, and edema does not always occur simultaneously, supporting signs and symptoms as well as laboratory data may be necessary to support the diagnosis. Once the diagnosis is established, drug therapy aimed at the prevention of seizures and emergent control of blood pressure should be instituted to stop progression of the disease. Although many agents are undergoing investigation, magnesium sulfate and hydralazine remain the drugs of choice for anticonvulsant and antihypertensive therapy, respectively. Early consultation with an obstetrician should facilitate timely termination of the pregnancy with the least possible trauma to the mother and infant.