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Hypertension and Cardiovascular Disease in Asia pp 257–270Cite as

Hypertensive Disorders in Pregnancy

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Part of the Updates in Hypertension and Cardiovascular Protection book series (UHCP)

Abstract

Hypertension in pregnancy is empirically diagnosed when there is sustained systolic (SBP) of ≥140 mmHg, or a sustained diastolic blood pressure (DBP) ≥ 90 mmHg obtained through a standardized technique of measurement using auscultatory (mercury or aneroid devices) or automated methods. An elevated measurement whether systolic or diastolic must be confirmed on repeat measurement before the woman can be considered hypertensive to reduce the potential for misdiagnosis based on spurious reading or the patient’s anxiousness during the measurement.

It has been observed that low to middle income countries (LMICs) bear a disproportionate burden of maternal morbidity and mortality from the various hypertensive disorders of pregnancy. The provision of good quality antenatal care during the first 4 months of pregnancy based on WHO recommendations is an effective intervention that can reduce maternal and neonatal mortality and morbidity from hypertensive disorders of pregnancy.

Keywords

  • Hypertension in pregnancy
  • Preeclampsia
  • Eclampsia
  • Gestational hypertension

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Fig. 18.1

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Author information

Authors and Affiliations

  1. Section of Fetal Maternal Medicine, Department of Obstetrics and Gynecology, MCU- Filemon D. Tanchoco Medical Foundation Hospital, Manila, Philippines

    Marjorie I. Santos

  2. Section of Fetal Maternal Medicine, Department of Obstetrics and Gynecology, Cardinal Santos Medical Center, Manila, Philippines

    Carmela Madrigal-Dy

  3. Division of Hypertension, Department of Medicine, University of the Philippines-Philippine General Hospital, Manila, Philippines

    Deborah Ignacia D. Ona

  4. Department of Medicine, St. Luke’s Medical Center, Manila, Philippines

    Deborah Ignacia D. Ona

Authors
  1. Marjorie I. Santos
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  2. Carmela Madrigal-Dy
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  3. Deborah Ignacia D. Ona
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Corresponding author

Correspondence to Deborah Ignacia D. Ona .

Editor information

Editors and Affiliations

  1. Apollo Hospitals, Apollo Institute for Blood Pressure Management, Hyderabad, India

    C. Venkata S. Ram

  2. Head, Division of Nephrology Department of Medicine, Yong Loo Lin Sch of Med Natl Univ of Sin, Singapore, Singapore

    Assoc. Prof. Boon Wee Jimmy Teo

  3. Department of Cardiology, Hero DMC Heart Institute, Dayanand Medical College, Ludhiana, Punjab, India

    Gurpreet S. Wander

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Santos, M.I., Madrigal-Dy, C., Ona, D.I.D. (2022). Hypertensive Disorders in Pregnancy. In: Ram, C.V.S., Teo, B.W.J., Wander, G.S. (eds) Hypertension and Cardiovascular Disease in Asia. Updates in Hypertension and Cardiovascular Protection. Springer, Cham. https://doi.org/10.1007/978-3-030-95734-6_18

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  • DOI: https://doi.org/10.1007/978-3-030-95734-6_18

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