Ryan Kimberly, McGrath Lidija, Brookfield Kathleen
Department of Obstetrics and Gynecology, Oregon Health and Science University, Portland, Oregon, USA; email:
Department of Cardiology, Oregon Health and Science University, Portland, Oregon, USA.
Annu Rev Med. 2025 Jan;76(1):315-326. doi: 10.1146/annurev-med-050423-085626. Epub 2025 Jan 16.
Chronic hypertension and preeclampsia spectrum disorders in pregnancy are important contributors to long-term maternal morbidity and mortality. Due to physiologic changes during pregnancy and the postpartum period, blood pressure expectations differ between primary care providers and obstetricians. The goal of this article is to describe the pathophysiology and definitions of hypertension in the obstetric context and review current evidence for management during pregnancy and the postpartum period. Longitudinal follow-up with a primary care provider after delivery is crucial for long-term cardiovascular risk reduction in hypertensive patients.
慢性高血压和妊娠期先兆子痫谱系障碍是导致孕产妇长期发病和死亡的重要因素。由于孕期和产后的生理变化，初级保健提供者和产科医生对血压的预期有所不同。本文的目的是描述产科背景下高血压的病理生理学和定义，并综述孕期和产后管理的现有证据。产后由初级保健提供者进行纵向随访对于降低高血压患者的长期心血管风险至关重要。
