Department of Obstetrics and Gynecology, Division of Perinatology, Trakya University Faculty of Medicine, Edirne, Türkiye.
Clinic of Obstetrics and Gynecology, University of Health Sciences Türkiye, Zeynep Kamil Women's and Child Health Training and Research Hospital, İstanbul, Türkiye.
Balkan Med J. 2024 Sep 6;41(5):333-347. doi: 10.4274/balkanmedj.galenos.2024.2024-7-108.
Hypertensive disorders of pregnancy are significant contributors to maternal and perinatal morbidity and mortality. The definition, classification, and management of these disorders have evolved over time. Notably, the disease classification enables caretakers to manage the disease as well as safeguard maternal and fetal health. The approach and management for pregnancies with gestational and chronic hypertension or pre-eclampsia with or without severe features should be adequately elucidated to mitigate adverse perinatal outcomes. This review aimed to present the most recent definition and classification of hypertensive disorders of pregnancy to address their management, determine the optimal timing of birth, and establish short- and long-term follow-up protocols following parturition.
妊娠高血压疾病是孕产妇和围产儿发病率和死亡率的重要原因。这些疾病的定义、分类和管理随着时间的推移而不断发展。值得注意的是,疾病分类使护理人员能够管理疾病,同时保护母婴健康。对于妊娠合并妊娠期和慢性高血压或子痫前期伴或不伴严重表现的孕妇,应充分阐明其处理方法和管理措施,以减轻不良围产儿结局的发生。本综述旨在介绍妊娠高血压疾病的最新定义和分类,以解决其管理问题,确定最佳分娩时机,并建立产后短期和长期随访方案。