Division of Hypertension and Clinical Pharmacology, Pat and Jim Calhoun Cardiology Center, University of Connecticut School of Medicine, 263 Farmington Avenue, Farmington, CT 06030-3940, USA.
J Clin Hypertens (Greenwich). 2009 Dec;11(12):726-33. doi: 10.1111/j.1751-7176.2009.00186.x.
Hypertension can persist from pregnancy or present de novo in the postpartum period and continue to pose a risk to maternal well-being. These risks are magnified as many patients present after hospital discharge and go unrecognized because of decreased medical surveillance after delivery. Guidelines for the management of postpartum hypertension are lacking, often resulting in imprecise diagnoses and incorrect treatment strategies. As hypertension specialists are called upon to provide advice to obstetricians regarding the management of hypertension in the postpartum period, it becomes important for the hypertension specialist to develop expertise in the evaluation and treatment of hypertensive women during the postpartum period. The purpose of this clinical review article is to provide an approach to the management of postpartum hypertension.
高血压可由妊娠持续存在或在产后新出现,并继续对产妇健康构成威胁。由于分娩后医疗监测减少,许多患者在出院后出现且未被发现,这些风险会加剧。产后高血压的管理指南缺乏,通常导致诊断不准确和治疗策略不正确。由于高血压专家被要求就产后高血压的管理向产科医生提供建议,因此高血压专家在评估和治疗产后高血压女性方面发展专业知识变得非常重要。本文的目的是为产后高血压的管理提供一种方法。