Hypertensive Disorders of Pregnancy

Hypertensive disorders of pregnancy are common and require special care to prevent maternal and fetal morbidity and mortality. Hypertension during pregnancy may result from several distinct processes. While the clinical presentations of these conditions often overlap, their pathophysiology and management differ. Since the symptoms of preeclampsia, the most dangerous disorder, are variable, overdiagnosis is appropriate. Chronic hypertension complicates 5% of all pregnancies and is becoming more common due to delayed child bearing. The exact cause of hypertensive vascular disease remains elusive so far, despite intensive research, and thus requires special attention. In the present review, some of the major aspects of the disease in relation to diagnosis and possible treatment will be discussed.  (more…)