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Pregnancy Induced Hypertension and Preeclampsia 

Pregnancy Induced Hypertension and Preeclampsia
Chapter:
Pregnancy Induced Hypertension and Preeclampsia
Author(s):

Kenneth E. Nelson

and Robert D’Angelo

DOI:
10.1093/med/9780199733804.003.0127
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date: 20 February 2020

Introduction 199

Pathophysiology 200

Complications 202

Obstetric Management 203

Anesthetic Management 206

Anesthetic Options 207

Summary 212

Blood pressure decreases somewhat during a normal pregnancy, and an elevated blood pressure is always considered abnormal. Hypertension during pregnancy is a condition that leads to a marked increase in both maternal and fetal morbidity and mortality. “Hypertensive disorders of pregnancy” includes both pregnancy-induced hypertension (PIH) and chronic hypertension that persists into the puerperium. Although the classic triad of preeclampsia includes hypertension, proteinuria and edema, the American College of Obstetricians and Gynecologists (ACOG) has established specific criteria defining both preeclampsia and severe preeclampsia (...

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