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Severe hypertension is defined as diastolic blood pressure ≥110 mm Hg.
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How should one approach a pregnant patient with hypertension?
You are consulted on a 29-year-old gravida 1 at nine weeks gestation with a two-year history of Type 2 diabetes and hypertension.
She is admitted to the obstetric inpatient service for glycemic control.
Superimposed preeclampsia occurs in 20% to 25% of women with chronic hypertension.5 Women with hypertensive target organ damage have an even greater likelihood of preeclampsia as well as maternal and fetal complications.
Unfortunately, blood-pressure control during pregnancy has not been shown to minimize the likelihood of developing superimposed preeclampsia or associated maternal and fetal complications.6 The goal of antihypertensive management during pregnancy is to avoid acute maternal or fetal complications of severe hypertension.
How are hypertensive disorders of pregnancy classified?
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