HYPERTENSION IN PREGNANCY: DIAGNOSIS, TREATMENT, PREVENTION OF COMPLICATIONS


O.A. Pustotina

Department of Obstetrics, Gynecology and Reproductive Medicine FATMP Peoples’ Friendship University of Russia, Moscow
In pregnant women, the presence of arterial hypertension is associated with such serious complications of pregnancy as preeclampsia, eclampsia, preterm delivery, placental abruption, antenatal fetal death, cerebrovascular disease and stroke in the mother. The review presents the modern classification of arterial hypertension in pregnant women (chronic hypertension, gestational hypertension, «de novo» pre-eclampsia or pre-eclampsia on the background of chronic hypertension; «white coat» hypertension); principles of diagnosis of various hypertensive disorders and their pathogenesis during pregnancy are discussed. International and national recommendations on the tactics of management of pre-eclampsia and its prevention and treatment (antihypertensive therapy, aspirin, calcium supplements, vitamin D) are presented. It is emphasized that the results of treatment of hypertensive disorders in pregnant women are not always successful. Therefore, special attention should be paid to the prevention of their development at the stage of preparation and planning of pregnancy.

About the Autors


Corresponding author: O.A. Pustotina – MD, Prof. at the Department of Obstetrics, Gynecology and Reproductive Medicine FATMP Peoples’ Friendship University of Russia, Moscow; e-mail: pustotina@gmail.com


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