Management of Hypertensive Crisis for the Obstetrician/Gynecologist.
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.
Department of Maternal Fetal Medicine, Winfred L. Wiser Hospital for Women and Infants, The University of Mississippi Medical Center, 2500 N State Street, Jackson, MS 30216, USA. Electronic address: jelfarra@umc.edu.
Jamil
J
ElFarra
Department of Maternal Fetal Medicine, Winfred L. Wiser Hospital for Women and Infants, The University of Mississippi Medical Center, 2500 N State Street, Jackson, MS 30216, USA.
Cynthia
C
Bean
Department of Maternal Fetal Medicine, Winfred L. Wiser Hospital for Women and Infants, The University of Mississippi Medical Center, 2500 N State Street, Jackson, MS 30216, USA.
James N
JN
Martin
D001795:Blood Pressure Determination; D019468:Disease Management; D042241:Early Diagnosis; D061345:Early Medical Intervention / Q000379:methods; D005260:Female; D006801:Humans; D046110:Hypertension, Pregnancy-Induced / Q000145:classification / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D011247:Pregnancy; D011256:Pregnancy Outcome; D011654:Pulmonary Edema / Q000209:etiology / Q000517:prevention & control*; D020521:Stroke / Q000209:etiology / Q000517:prevention & control*
Eclampsia; HELLP syndrome; Hypertension; Hypertensive crisis; Hypertensive urgency/emergency; Preeclampsia; Pregnancy; Pregnancy safety bundles