ACOG Practice Bulletin No. 203: Chronic Hypertension in Pregnancy.
ACOG Practice Bulletin No. 203: Chronic Hypertension in Pregnancy.
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DOI：
10.1097/aog.0000000000003020
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发表时间：
2019-01-01
影响因子：
7.2
通讯作者：
中科院分区：
文献类型：
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慢性高血压存在于0.9-1.5％的孕妇（）中，可能导致明显的母亲，胎儿和新生儿发病率和死亡率。从2000年到2009年，孕产妇慢性高血压率提高了67％，非裔美国妇女的增长最大（87％）。这种增加在很大程度上是肥胖症流行和孕产妇年龄增长的继发性（）。预计该趋势将继续。本文件的目的是阐明在怀孕之前或怀孕期间或诊断慢性高血压的标准，审查慢性高血压对怀孕的影响，反之亦然，并评估可用的管理证据。选项。这些经过修订的最佳实践建议的目的是根据新的研究数据以及相关的病理生理和药理学考虑，为怀孕的慢性高血压提供合理的方法。
Chronic hypertension is present in 0.9-1.5% of pregnant women () and may result in significant maternal, fetal, and neonatal morbidity and mortality. The rate of maternal chronic hypertension increased by 67% from 2000 to 2009, with the largest increase (87%) among African American women. This increase is largely secondary to the obesity epidemic and increasing maternal age (). The trend is expected to continue.The purpose of this document is to clarify the criteria used to define and diagnose chronic hypertension before or during pregnancy, to review the effects of chronic hypertension on pregnancy and vice versa, and to appraise the available evidence for management options. The purpose of these revised best practice recommendations is to provide a rational approach to chronic hypertension in pregnancy based on new research data and relevant pathophysiologic and pharmacologic considerations.