Pregnancy induced hypertension

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Pregnancy-induced hypertension
ICD-10 O13-O14
ICD-9 642
MedlinePlus 000898

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Synonyms and Keywords: Pregnancy-induced hypertension; PIH; gestational hypertension

Overview

Pregnancy-induced hypertension is defined as the development of new arterial hypertension in a pregnant woman after 20 weeks gestation.

Epidemiology and Demographics

Although few women of childbearing age have high blood pressure, up to 10% develop hypertension of pregnancy.

Natural History, Complications and Prognosis

While generally benign, it may herald three complications of pregnancy: pre-eclampsia, HELLP syndrome and eclampsia. Follow-up and control with medication is therefore often necessary.

Treatment

There is no specific treatment, but is monitored closely to rapidly identify pre-eclampsia and its life-threatening complications (HELLP syndrome and eclampsia). Treatment options are limited, as many antihypertensives may negatively affect the fetus.

First Choice

Second Choice

Third Choice

Contraindicated

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