Ames Mary, Rueda Jose, Caughey Aaron B
Department of Obstetrics & Gynecology, Division of Maternal Fetal Medicine, Oregon Health & Science University, Portland, Oregon, USA.
Clin Obstet Gynecol. 2012 Sep;55(3):744-55. doi: 10.1097/GRF.0b013e31825c8bcd.
Chronic hypertension in pregnancy is one of the most common medical diseases affecting pregnancy. It is associated with serious maternal and fetal complications, including superimposed pre-eclampsia, fetal growth restriction, premature delivery, placental abruption, and stillbirth. Baseline evaluation as early as possible is important to differentiate women with essential hypertension from those with severe hypertension, coexisting end-organ damage, and secondary causes of hypertension, as their risks of poor outcomes are increased. An optimal plan for maternal treatment and fetal surveillance can then be formulated. Coordination of care after delivery is important for long-term maternal health and future pregnancies.
妊娠期慢性高血压是影响妊娠的最常见医学疾病之一。它与严重的母婴并发症相关，包括子痫前期、胎儿生长受限、早产、胎盘早剥和死产。尽早进行基线评估对于区分原发性高血压女性与重度高血压、并存终末器官损害及高血压继发原因的女性很重要，因为她们不良结局的风险会增加。然后可以制定最佳的母体治疗和胎儿监测计划。产后护理的协调对产妇的长期健康和未来妊娠很重要。
