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Review Article
Drug Therapy
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Volume 335:257-265 July 25, 1996 Number 4
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Treatment of Hypertension in Pregnant Women
Baha M. Sibai, M.D.

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Hypertensive disorders are the most common medical complications of pregnancy and are an important cause of maternal and perinatal morbidity and mortality worldwide.1 During normal pregnancy, systolic pressure changes little; however, diastolic pressure decreases by an average of 10 mm Hg early in gestation (13 to 20 weeks) and rises again to prepregnancy levels in the third trimester. The term "hypertension in pregnancy" describes a broad spectrum of conditions in which blood pressure varies widely. In reviewing the literature on this subject, one is faced with difficulties regarding the definitions and classifications used to categorize hypertension in pregnant women,2,3,4,5,6 including . . . [Full Text of this Article]

Chronic Hypertension

Risks to the Mother and Fetus

Pharmacologic Treatment

Risks of Pharmacologic Treatment

Management of Chronic Hypertension

Gestational Hypertension

Preeclampsia

Pathophysiology

Risks of Preeclampsia to the Mother and Fetus

Management of Preeclampsia

            Mild Preeclampsia

            Severe Preeclampsia

Anticonvulsant Drug Therapy

Prevention of Preeclampsia

Conclusions


Source Information

From the Division of Maternal–Fetal Medicine, Department of Obstetrics and Gynecology, University of Tennessee, 853 Jefferson Ave., Rm. E102, Memphis, TN 38103, where reprint requests should be addressed to Dr. Sibai.

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