Diagnoses
2 elevated blood pressures prior to 20 weeks GA
Chronic Hypertension
BP above this indicates hypertension in pregnancy
>140/90
1st line long-acting medication
Labetalol
Alternative treatments for eclamptic seizure
Phenytoin, Lorazepam
New onset hypertension after 20 weeks
Preeclampsia
the #1 risk factor for development of Preeclampsia
History of Preeclampsia
Cr greater than _ is indicative of severe preeclampsia
1.1 (or twice normal in renal disease)
Treatment for Preeclampsia prevention
Aspirin (81-162mg)
the rate of hypertension in general population after preeclampsia
5x higher
Severe range BP + evidence of end-organ damage
Severe Preeclampsia
Name 3 Risk Factors for Preeclampsia
Nulliparity
Multifetal gestations
History of Preeclampsia
Chronic HTN
Diabetes (Gestational or preexisting)
Thrombophilia, SLE, APLS
BMI >30
AMA (Age >35)
Kidney disease
ART
OSA
LDH greater than this number indicates hemolysis
600
Treatment for seizure prevention in severe preeclampsia
Magnesium
rate of cardiovascular complications with a history of preeclampsia
Doubles
Preeclampsia + Seizures
Eclampsia
Screening methods to identify risk women
History (and physical)
Development of this indicates severe preeclampsia and often requires treatment with diuretics
Pulmonary edema
ACE inhibitors
persistence of elevated BP past this number of weeks postpartum indicates a diagnosis of Chronic HTN
6-12
Hemolysis, Elevated Liver enzymes, Low Platelets
HELLP Syndrome
This group is most diagnosed with Preeclampsia
Healthy, nulliparous patients without any risk factors
RUQ pain is indicative of this stretching
Glisson's capsule
Considered "the cure" for hypertensive disorders
Delivery
>140/90