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Secular trends in the rates of preeelampsia, eclampsia, and gestational hypertension, United States, 1987-2004.
Among these, hypertensive disorders [preeclampsia, HELLP syndrome, and gestational hypertension (without proteinuria)] accounted for the largest group (42.4%).
The incidence of gestational hypertension was 26%, preeclampsia 45%--mild preeclampsia 11% and severe preeclampsia 34%, eclampsia 19% and HELLP syndrome 10%.
The authors reached these conclusions by using a comprehensive Canadian health database to identify all women delivering in an Ontario hospital between April 1994 and March 2008 who had preeclampsia, gestational hypertension, or gestational diabetes.
There were 83 cases of gestational hypertension (59.28%), 38 cases of mild preeclampsia (27.14%), 13 cases of severe preeclampsia (9.28%) and 6 cases of eclampsia (4.28%).
Of the 28 women with blood pressures greater than 140/90 mm Hg at less than 20 weeks' gestation, 16 (57%) were later proved to have only gestational hypertension, while 12 (43%) were ultimately found to have chronic hypertension.
Associated Maternal Complications Gestational hypertension 22 (11.64%) Gestational diabetes mellitus 9 (4.76%) Oligohydramnios 14 (7.40%) PROM 18 (9.52%) Foetal distress 37 (19.58%) Caesarean section 88 (46.56%) There were 22 (11.64%) patients who had gestational hypertension.
The optimal management of gestational hypertension and mild preeclampsia at term has been a subject of great debate over the past decade.
Hence, the present study focuses on an assessment of efficacy and safety of Labetalol in lowering blood pressure in patients with moderate gestational hypertension.
In the adjusted multivariate analysis, weight loss and low gestational weight gain were linked with a decreased adjusted odds ratio of gestational hypertension for women with a BMI of 30-35.
The spectrum of hypertensive diseases that can complicate pregnancy are broad ranging from gestational hypertension, preeclampsia, chronic hypertension and chronic hypertension with superimposed pre-eclampsia.
Gestational hypertension or preeclampsia was diagnosed in 15 donors and 38 nondonors (11% vs.
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