Hostname: page-component-848d4c4894-xfwgj Total loading time: 0 Render date: 2024-06-16T22:22:48.487Z Has data issue: false hasContentIssue false
  • English
  • Français

Screening for Hypertension in Pregnancy

Published online by Cambridge University Press:  10 March 2009

Robert L. Goldenberg
Robert L. Goldenberg
Affiliation:
University of Alabama, Birmingham
Get access Rights & Permissions [Opens in a new window]

Abstract

The literature dealing with screening for hypertension in pregnancy was reviewed. No level of blood pressure or any other factor provides a guarantee of no risk for the development of preeclampsia. However, higher blood pressure in early pregnancy and a failure to decrease blood pressure in midpregnancy are both associated with the development of preeclampsia. The development of proteinuria, rather than the level of blood pressure, is the best predictor of poor pregnancy outcome. Multiparas, especially those with severe chronic hypertension who develop preeclampsia, are at greatest risk of poor pregnancy outcome.

Type
Screening for Asymptomatic Pregnancy Hypertension
Information
International Journal of Technology Assessment in Health Care , Volume 8 , Supplement S1 , January 1992 , pp. 63 - 71
Copyright
Copyright © Cambridge University Press 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1.Chesley, L. C., & Sibai, B. M.Clinical significance of elevated mean arterial pressure in the second trimester. American Journal of Obstetrics and Gynecology, 1988, 159, 275–79.CrossRefGoogle ScholarPubMed
2.Chesley, L.C., & Sibai, B. M.Blood pressure in the midtrimester and future eclampsia. American Journal of Obstetrics and Gynecology, 1987, 157, 1258–61.CrossRefGoogle ScholarPubMed
3.Christianson, R. E.Studies on blood pressure during pregnancy. American Journal of Obstetrics and Gynecology, 1976, 125, 509–13.CrossRefGoogle ScholarPubMed
4.Ferrazzani, S., Caruso, A., De Carolis, S., et al. Proteinuria and outcome of 444 pregnancies complicated by hypertension. Obstetrics and Gynecology, 1990, 162, 366–71.Google ScholarPubMed
5.Friedman, E. A., & Neff, R. H.Hypertension in pregnancy correlation with fetal outcome. Journal of the American Medical Association, 1978, 239, 2249.CrossRefGoogle ScholarPubMed
6.Gant, N. P., Chand, S.Worley, R. J., et al. A clinical test useful for predicting the development of acute hypertension in pregnancy. American Journal of Obstetrics and Gynecology, 1974, 120, 1.CrossRefGoogle ScholarPubMed
7.Gant, N. F., Daley, G. L., Chand, S., et al. A study of angiotensin II pressor response throughout primigravid pregnancy. Journal of Clinical Investigation, 1973, 52, 2682.CrossRefGoogle ScholarPubMed
8.Gleicher, N., Boler, L.R., Norusis, M., & Del Granado, A.Hypertensive diseases of pregnancy and parity. American Journal of Obstetrics and Gynecology, 1986, 154, 1044–49.CrossRefGoogle ScholarPubMed
9.Kassar, N. D., Aldridge, J., & Quirk, B.Roll over test. Obstetrics and Gynecology, 1980, 55, 285–90.Google ScholarPubMed
10.Kofinas, A. D., Penry, M., Nelson, L. H., et al. Uterine and umbilical artery flow velocity waveform analysis in pregnancies complicated by chronic hypertension or preeclampsia. Southern Medical Journal, 1990, 83, 150–55.CrossRefGoogle ScholarPubMed
11.Lin, C. C., Lindheimer, M. D., River, P., & Moawad, A. H.Fetal outcome in hypertensive disorders of pregnancy. American Journal of Obstetrics and Gynecology, 1982, 142, 255–60.CrossRefGoogle ScholarPubMed
12.Lindmark, G., Lindberg, B., & Högstedt, S.The incidence of hypertensive disease in pregnancy. Acta Obstetricia Gynecologica Scandinavica, 1984, 118(suppl.), 29–32.CrossRefGoogle ScholarPubMed
13.MacGillivray, I., Rose, G. A., & Rowe, B.Blood pressure survey in pregnancy. Clinical Science, 1969, 37, 395–407.Google ScholarPubMed
14.Moutquin, J. M., Rainville, C., Giroux, L., et al. A prospective study of blood pressure in pregnancy. Prediction of preeclampsia. American Journal of Obstetrics and Gynecology, 1985, 151, 191–96.CrossRefGoogle ScholarPubMed
15.Naeye, R. L., & Friedman, E. A.Causes of perinatal death associated with gestational hypertension and proteinuria. American Journal of Obstetrics and Gynecology, 1979, 133, 8–10.CrossRefGoogle ScholarPubMed
16.Naeye, R. L.Maternal blood pressure and fetal growth. American Journal of Obstetrics and Gynecology, 1981, 141, 780–87.CrossRefGoogle ScholarPubMed
17.Page, E. W., & Christianson, R.The impact of mean arterial pressure in the middle trimester upon the outcome of pregnancy. American Journal of Obstetrics and Gynecology, 1976, 125, 740–46.CrossRefGoogle ScholarPubMed
18.Reiss, R. E., O’Shaughnessy, R., Quilligan, T. J., & Zuspan, F. P.Retrospective comparison of blood pressure course during preeclamptic and matched control pregnancies. American Journal of Obstetrics and Gynecology, 1987, 156, 894-98.CrossRefGoogle ScholarPubMed
19.Sibai, B. M., Abdella, T. N., & Anderson, G. D.Pregnancy outcome in 211 patients with mild chronic hypertension. Obstetrics and Gynecology, 1983, 61, 571–76.Google ScholarPubMed
20.Sibai, B. M., & Anderson, G. D.Pregnancy outcome of intensive therapy in severe hypertension in first trimester. Obstetrics and Gynecology, 1986, 67, 517–22.Google ScholarPubMed
21.Sibai, P. M.Pitfalls in diagnosis and management of preeclampsia. American Journal of Obstetrics and Gynecology, 1988, 159, 1–5.CrossRefGoogle ScholarPubMed
22.Soffronoff, E. C., Kaufmann, B. M., & Connaughton, J. F.Intravascular volume determinations and fetal outcome in hypertensive diseases of pregnancy. American Journal of Obstetrics and Gynecology, 1977, 127, 4–9.CrossRefGoogle ScholarPubMed
23.Villar, M. C., & Sibai, B. M.Clinical significance of elevated mean arterial blood pressure in second trimester and threshold increase in systolic or diastolic blood pressure during third trimester. American Journal of Obstetrics and Gynecology, 1989, 160, 419–23.CrossRefGoogle ScholarPubMed